48-year-old female with sickle cell disease hip pain. Evaluate for avascular sclerosis. Suboptimal evaluation secondary to patient motion artifact.LEFT HIP:Heterogeneous bone marrow signal abnormality is nonspecific but may reflect residual islands of red marrow and can be seen in patients with anemia. There is mild diffuse fatty atrophy of the musculature of the left hip. No findings to suggest avascular necrosis. There is a small amount of fluid within the joint without evidence of large effusion.RIGHT HIP:Heterogeneous bone marrow signal abnormality is nonspecific but may reflect residual islands of red marrow and can be seen in patients with anemia. There is mild diffuse fatty atrophy of the musculature of the left hip. No findings to suggest avascular necrosis. Mild to moderate degenerative disc disease affecting the lower lumbar spine. Note is made of subcentimeter uterine fibroids. There is a small amount of free fluid within the pelvis which is likely physiologic. There is a small amount of fluid within the joint without evidence of large effusion. Note is made of a right iliac fossa transplant kidney. There is nonspecific subcutaneous edema along the lateral aspect of the thighs bilaterally.
No findings to suggest avascular necrosis. Findings consistent with the patient's stated history of sickle cell disease and other findings as described above.