Hip pain, concern for septic arthritis The exam is limited by motion artifact and the patient's body habitus.BONE MARROW: There is a hematopoietic marrow reconversion but no T1 abnormalities suggest the presence of osteomyelitis. There is no evidence of fracture, malalignment, or osseous erosion.SOFT TISSUES: There is mild diffuse increase in signal of the pelvic musculature but most notably involving the obturator externus on the right and the gluteus musculature. There is also increased signal within the visualized portion of the vastus musculature bilaterally. Increased signal is also noted along the trochanteric bursa bilaterally, right greater than left with a more focal area of increased signal within the gluteal musculature of the right.JOINTS: There are no bony erosions and no joint effusion. Moderate osteoarthritic changes of the hips are noted bilaterally.
1. No evidence of osteomyelitis or septic arthritis.2. Diffusely increased signal of the pelvic musculature which is nonspecific but may relate to myositis or diabetic myopathy.3. More focal area of soft tissue enhancement within the right gluteal soft tissues may represent area of Evolution of diabetic necrosis. No drainable fluid collections.