Right hip pain. History of surgery, right hip labral repair, CAM October 2014. Evaluate healing of labrum. ACETABULAR LABRUM: Best seen on images 9 and 10 of radial series 1301 is gadolinium filling a small defect of the undersurface of the anterosuperior labrum at the 1-2 o'clock position. Additional gadolinium appears to extend into the substance of the labrum (image 10). These findings are suspicious for tear, although could conceivably be due to prior surgery. The posterior labrum appears intact. ARTICULAR CARTILAGE AND BONE: I see no fluid-filled articular cartilage defects, although linear low signal intensity within the articular cartilage of the acetabulum adjacent to the aforementioned suspected labral tear can be seen with delamination. Bone marrow signal intensity is normal. There is scalloping of the anterior margin of the femoral head/neck junction likely representing femoral osteoplasty. There is cranial acetabular retroversion which can be associated with pincer-type femoral-acetabular impingement.SOFT TISSUES: There is thickening and irregularity of the anterior capsular structures the hip representing scarring from prior surgery. The ligamentum teres appears intact. The musculature of the hip appears normal.
1.Surgical changes of the right hip as described above.2.Tear of the anterior superior labrum as described above, with possible adjacent articular cartilage delamination.3.Cranial acetabular retroversion which may be associated with pincer-type femoral-acetabular impingement in the correct clinical context.