71 year-old female with hip pain for two months after fall. We see no signal abnormality in the bones to suggest a fracture. Mild osteoarthritis of the right hip. Signal abnormality within the labrum likely a combination of degeneration and tearing. No joint effusion is present.The gluteus minimus tendon on the right appears slightly thickened with mild fatty atrophy of the gluteus minimus muscle. The remaining musculature appears intact. There is small amount of fluid along the soft tissues adjacent to the right greater trochanter which may reflect very mild bursitis.One of the larger field of view images, mild osteoarthritis affects the left hip. There is an elongated and lobulated fluid signal along the the anterior aspect of the hip which extends superiorly along the pelvic side wall posterior to the iliopsoas which may reflect fluid in the iliopsoas bursa or paralabral cyst. There is increased signal intensity at the origin of the hamstrings on the left which may reflect tendinosis and mild tearing but is not necessarily of current clinical significance. Severe degenerative arthritic changes affect the lower lumbar spine.
1.No fracture is evident.2.Degenerative arthritic changes as above.3.Atrophy of the right gluteus minimus muscle with thickening of the right gluteus minimus tendon which could represent tendinosis or alternatively an old tear that has undergone scarring.4.Small thin collection of fluid along the right greater trochanter may reflect mild bursitis but is not necessarily of current clinical significance.5.Other findings as above.