Reason: eval for labral tear right hip versus psoas strain/tear History: hip pain with running ACETABULAR LABRUM: A linear band of increased signal intensity traverses the anterior labrum at the two o'clock position, indicative of a full thickness tear. The remainder of the labrum appears intact.ARTICULAR CARTILAGE AND BONE: There is a 4-mm linear defect within the articular cartilage of the acetabulum, along its posterior/superior aspect. There is an approximately 1 cm focus of poorly defined edema-type signal within the posterosuperior aspect of the femoral head, and while nonspecific, may be degenerative in etiology or perhaps represent bone contusion. We see no additional marrow abnormality involving the right hip. We see no frank CAM deformity.SOFT TISSUES: There is mild edema along the proximal semimembranosus tendon, which may represent a strain injury, but the tendon itself remains normal. The conjoined tendon appears normal. The gluteal muscles and tendons are within normal limits. There is mild edema along the iliopsoas tendon, as it courses anterior to the hip, which may represent mild strain, but this is equivocal.ADDITIONAL
1.Full thickness anterior labral tear.2.Mild edema along the right the right semimembranosus, right iliopsoas, and the right posterior sacroiliac joint, as described above, which may represent strains/sprain, of questionable clinical significance.3.Subcentimeter focal defect in the acetabular articular cartilage with underlying edema in the posterosuperior aspect of the femoral head, which may represent a bone contusion or be degenerative in etiology.4.We see no stress fracture.