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Hip MRI report looks very serious. HELP!
I received the following MRI report. It looks really serious! It will take me weeks to get in to see my doctor again. How serious is this report? I am only 39 and can barely walk some days. Can surgery fix this?
This happened as a result of injury at a charity softball tournament back in September. TIA
FINDINGS
There is normal acetabular anteversion. There is loss of the normal concavity at the superior and
anterior femoral head neck junction, but there is no dysplastic hump. There is an undisplaced labral tear at the labral acetabular interface in the posterior superior quadrant between 11 o'clock and 9 o'clock locations. The remainder of the labrum is intact. There is marrow edema in the superior and lateral aspect of the femoral head. In the subchondral superior femoral head there is a double line sign with a thin hyperintense line peripheral to a thick wavy low signal band. No evidence of subchondral fracture. There is a 4 millimeter cyst in the medial aspect of the femoral head. A
moderate volume of marrow edema is present in the anterolateral acetabular roof. No chondrolysis. No osteophytosis. There is a tiny partial-thickness tear at the gluteus medius insertion on the greater trochanter. No other abnormality of the periarticular musculature,
IMPRESSION
Undisplaced posterior superior quadrant labral tear.
Small partial-thickness gluteus medius insertion tendon tear.
Fairly extensive marrow edema in the femoral head and acetabular roof. I am highly suspicious
that the changes in the femoral head are secondary to vascular necrosis. As this was performed as an arthrogram study there was no non-fat saturated T1 or T2 imaging performed as would be performed if vascular necrosis was suspected. I will arrange for the patient to be recalled for appropriate additional imaging.
This happened as a result of injury at a charity softball tournament back in September. TIA
FINDINGS
There is normal acetabular anteversion. There is loss of the normal concavity at the superior and
anterior femoral head neck junction, but there is no dysplastic hump. There is an undisplaced labral tear at the labral acetabular interface in the posterior superior quadrant between 11 o'clock and 9 o'clock locations. The remainder of the labrum is intact. There is marrow edema in the superior and lateral aspect of the femoral head. In the subchondral superior femoral head there is a double line sign with a thin hyperintense line peripheral to a thick wavy low signal band. No evidence of subchondral fracture. There is a 4 millimeter cyst in the medial aspect of the femoral head. A
moderate volume of marrow edema is present in the anterolateral acetabular roof. No chondrolysis. No osteophytosis. There is a tiny partial-thickness tear at the gluteus medius insertion on the greater trochanter. No other abnormality of the periarticular musculature,
IMPRESSION
Undisplaced posterior superior quadrant labral tear.
Small partial-thickness gluteus medius insertion tendon tear.
Fairly extensive marrow edema in the femoral head and acetabular roof. I am highly suspicious
that the changes in the femoral head are secondary to vascular necrosis. As this was performed as an arthrogram study there was no non-fat saturated T1 or T2 imaging performed as would be performed if vascular necrosis was suspected. I will arrange for the patient to be recalled for appropriate additional imaging.
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