Right lower quadrant abdominal pain after punch to gut. Rectus muscle hematoma versus tear? Markers were placed along the anterolateral aspect of the right abdominal wall and right hip, presumably denoting the area of the patient's pain. I see no hematoma or muscle tear. A small lobulated focus of fluid is noted immediately anterior to the anterior column of the left acetabulum which may represent a paralabral cyst or fluid in the iliopsoas bursa. This may further evaluated with dedicated left hip MRI if clinically warranted. There is also prominence of the femoral head neck junction bilaterally suggesting a CAM deformity that can be associated with femoroacetabular impingement in the correct clinical context. The hip joints are otherwise unremarkable. The sacroiliac joints are unremarkable. The visualized musculature appears normal. The abdominal viscera, although not visualized in its entirety on this study, likewise appears normal.
No muscle hematoma, muscle tear, or other specific findings to account for patient's right lower quadrant pain. Other findings as described above.