Can someone give me an opinion on my hip MRI
27M
Got an MRI after ortho assumed I had a labral tear.
Turns out no labral tear but PVNS?
There is diffuse right hip joint space narrowing with scattered erosions and
diffuse surrounding bone marrow edema within the right acetabular roof and right posterior acetabular wall. There is
mild subchondral edema within the superior aspect of the right femoral head with a small focus of overlying grade 4
chondral loss. There are scattered erosions seen within the right femoral head-neck junction and within the right
femoral neck with surrounding bone marrow edema. There are nodular T2 intermediate-to-hypointense filling defects
within the right hip joint. For example, there is a 1.5 cm nodular filling defect within the right inferomedial right hip joint
recess as is seen on image 13 of the large field-of-view coronal T2 fat-sat series. There is a 2.5 cm filling defect within the
anterior right hip joint recess at the level of the right femoral neck and seen on image 24 of the large field-of-view axial
T2 fat-sat series. These findings are most compatible with PVNS. Differential diagnosis includes other types of
inflammatory arthritides. There is no fracture. There is no definite evidence for avascular necrosis. The right acetabular
labrum is intact. The left hip joint space is preserved. Both sacroiliac joints are patent.
Ligaments and Musculotendinous Structures: There is no appreciable trochanteric bursitis. Both visualized proximal
hamstring tendons and both visualized proximal adductor muscles are intact. There is no muscle atrophy seen. There
are no muscular strains seen.