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 50-year-old male presents with right hip pain, worse during the past five months, with stiffness and limited range of motion.NOT A PRIMARY FINDING:&#160;Abnormal overall marrow signal.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Osseous structures appear grossly intact and exhibit normal overall marrow signal. Moderate (class 3) degenerative chondromalacia is identified involving the weightbearing aspect of the hip articulation. Bony proliferative alteration is identified involving the lateral aspect of the femoral head / neck junction without evidence of cystic change. Superolateral labral degeneration is identified without evidence of detached labral tear. Small, posterior, paralabral cyst measuring approximately 5mm is demonstrated. The muscles are normal in appearance. Sacroiliac articulation appears preserved.&#160;CONCLUSION:&#160;Moderate (class 3) degenerative chondromalacia accompanied by diffuse labral degeneration and posterior paralabral cyst measuring approximately 5mm, indicative of chronic tear. Undercoverage consistent with developmental dysplasia of the hip.</div>

Case

Moderate (class 3) degenerative chondromalacia

What of the following is NOT a primary finding in this case?