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)

Case 1 - 20-year-old male has left hip pain when bearing weight

Case 2 - 63-year-old female presents with severe right hip pain

Case 3 - 15-year-old male presents with deep muscle pain of right hip

Case 4 - 64-year-old male presents with pain in the left hip

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

Case 6 - 49-year-old male presents with right hip and groin pain

Case 7 - 71-year-old male presents with moderate worsening pain in left hip

Case 8 - 63-year-old male presents with extreme pain in front right hip

Case 9 - 14-year-old male displayed an abnormal x-ray of the right hip

Case 10 - 63-year-old female presents with right groin pain

Case 11 - 39-year-old male presents with peritrochanteric fracture of right hip

Case 12 - 8-year-old male presents with a clinical concern for bilateral hip dysplasia

Case 13 - 22-year-old male presents with right hip pain

Case 14 - 90-year-old male presents with left hip pain

Case 15 - 56-year-old male presents with pain in the left groin

Case 16 - 28-year-old female presents with right hip pain

Case 17 - 50-year-old male presents with right hip pain

Case 18 - 41-year-old male presents with left hip pain

Case 19 - 56-year-old male presents with left hip pain

Case 20 - 45-year-old male presents with history of femoroacetabular impingement in right hip

Case 21 - 22-year-old female presents with right hip pain for 6-7 years

Case 22 - 60-year-old female presents with left hip pain after a fall

Case 23 - 20-year-old female presents with left hip pain

Case 24 - 4-year-old male with achondroplasia

Case 25 - 53-year-old female presents with right buttock and lateral hip pain

Course Evaluation

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

<div>HISTORY:&#160;This 20-year-old male has left hip pain when bearing weight and pushing hip out anteriorly.UNLIKELY DIFFERENTIAL DIAGNOSIS: Lymphoma / Hodgkin&#8217;s diseaseDIAGNOSIS: PendingUsing the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS:&#160;A large expansile mass of indeterminate character is 6.3cm long and 4cm in transverse dimension in a 20-year-old young male.&#160;Epimetaphyseal involvement all the way to the bone end is identified.&#160;Differential diagnosis includes the family of bone end lesions including giant cell tumor, chondroblastoma with or without clear cell chondrosarcomatous degeneration, telangiectatic osteogenic sarcoma (rare); however, in this position within the femur, the family of lymphoproliferative disorders is unlikely.&#160;Furthermore, the pattern of involvement is inconsistent with eosinophilic granuloma.&#160;The findings are definitively neoplastic in nature.&#160;Surrounding areas of osteoedema extend into the trochanteric crest.&#160;&#160;&#160;Scant reactive effusion.&#160;&#160;&#160;Lesion is solitary.&#160;&#160;Lesion is expansile.&#160;&#160;Tissue sampling will be necessary along with clinical history taking exclusion of any other potential sites of involvement although unlikely.&#160;&#160;Incidentally noted left hydrocele.&#160;Conventional radiograph is requested for further lesion characterization and matrix analysis.&#160;&#160;CONCLUSION:&#160;&#160;&#160;Expansile mass involving predominantly the epimetaphysis and epiphysis all the way to the bone end, of indeterminate aggression.&#160;Differential diagnosis given in the body of the report but first step is request for conventional radiograph and correlation of such.</div>

Case

Which of the following would be an UNLIKELY choice for a differential diagnosis in this case?