Case Challenge

Hip & Thigh

Stephen J Pomeranz

Gain confidence interpreting Hip MRI with practice cases from MRI Online. Quiz yourself using real-world DICOMs & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Post-Course Activities

This Power Pack is comprised of 25 unique Hip MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Hip MRI Cases

Case 5 - 47-year-old male presents with moderate pain in right hip

<div>HISTORY:&#160;This 47-year-old male presents with moderate pain in right hip for six months. History of physical therapy. History of L4-L5 fusion. Symptoms came on gradually and getting worse. History of steroids.PRIMARY FINDING:&#160;Cam-type femoroacetabular impingement.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: No acute bony macrofracture or contusion. Decreased tapering of femoral head-neck junction. Mild spurring at femoroacetabular articulation. A subcortical pseudocyst at anterior femoral head-neck junction. Chronic superior and posterior labral tear with tiny paralabral cysts. No substantive joint effusion.&#160;Mild tendinopathy and peritendinitis of gluteus medius. No tear. No acute muscle strain.&#160;SI joints and pubic symphysis unremarkable. Postsurgical change of visualized lumbar spine.&#160;Mild spurring of left acetabulum. Decreased tapering of left femoral head-neck junction.&#160;IMPRESSION: Right Hip: Arthrosis with spurring and chronic superior and posterior labral tear with tiny paralabral cysts. Findings predisposed by cam-type femoroacetabular impingement. Impingement subcortical pseudocyst at anterior femoral head-neck junction with bump cyst complex.&#160;Mild tendinopathy and peritendinitis of right gluteus medius.&#160;Left hip arthrosis with spurring.&#160;Postsurgical change of inferior lumbar spine.</div>

Case

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