Male 78 years old Reason: cause of severe pain right groin radiating to buttocks status post stent in place for renal stones. E faecalis bacteremia. History of recurrent colon cancer with lung metastases. History: severe pain right groin radiating to buttocks; back pain Bilateral psoas abscesses and lumbar spine osteomyelitis is better evaluated on lumbar spine MRI. T2 hyperintense edema signal extends inferiorly along the iliopsoas bilaterally. Subchondral cyst formation is noted in the femoral heads bilaterally, right greater than left, most likely degenerative in etiology. There is no significant joint effusion.
Bilateral psoas abscesses and lumbar spine osteomyelitis, better evaluated on lumbar spine MRI. Degenerative changes in the hips.