67-year-old female with severe hip pain and mild abnormalities on radiographs. There are areas of full-thickness cartilage loss along the posteromedial aspect of the hip, indicating osteoarthritis. There is also abnormal signal intensity within the labrum indicating intrasubstance degeneration as well as degenerative tearing involving the anterosuperior and posterior labrum. There is a small amount of fluid within the joint, but no large effusion is evident. The ligamentum teres appears intact. We see no trochanteric bursitis. The muscles of the hip appear normal for age. Mild osteoarthritis affects the left hip as seen on the large field-of-view images. The bone marrow signal intensity is otherwise within normal limits. Mild osteoarthritis affects the sacroiliac joints. Mild degenerative joint disease affects the pubic symphysis. Degenerative disc disease and facet joint osteoarthritis affects the lower lumbar spine.
1. Osteoarthritis of the right hip with degeneration and degenerative tearing of the acetabular labrum.2. Additional osteoarthritis/degenerative arthritic changes as described above, including the lower lumbar spine.