Reason: Evaluate right hip for labral tear History: Right hip pain ACETABULAR LABRUM: The labrum overall appears similar to prior. There is no gadolinium seen entering the substance of the labrum to confirm a discrete tear. However, much of the anterior/superior labrum is replaced with intermediate signal intensity that may reflect degenerative tearing and/or fraying; the extent to which this represents postoperative change is uncertain. The posterior labrum appears normal.ARTICULAR CARTILAGE AND BONE: There is no evidence of avascular necrosis. There is mild cartilaginous heterogeneity and osteophyte formation noted at the superior acetabulum. No focal fluid-filled cartilaginous defects are identified. There is postsurgical scalloping along the antero-lateral femoral head/neck junction. Sacroiliac joints are unremarkable.SOFT TISSUES: There is gadolinium within the anterior musculature of the hip, likely related to injection. Ligamentum teres and transverse ligament are intact. Iliopsoas tendon is intact with normal signal and morphology. Adductor, gluteal, and hamstring insertions are unremarkable. ADDITIONAL
The labrum appears similar to prior exam. Intermediate signal intensity again replaces most of the anterior/superior labrum suggesting degenerative tearing and/or fraying, but no discrete gadolinium filled defects are identified.