Report
Patient History
14-year-old female with left hip pain.
Findings
SKELETAL: Generalized trochanteric osteoedema with scant extension towards the shaft and femoral neck. Findings surround a focal area of intermediate T1 and increased STIR signal intensity surrounded by a low signal intensity rim. Size is less than 3-4mm. Location is cortical/subcortical.
PELVIS: Normal. No signs of dysplasia.
JOINTS: Normal.
ACETABULUM/LABRUM: Normal.
MUSCLES/TENDONS/LIGAMENTS: Mild soft tissue swelling. Tendon and ligamentous structures are normal.
OTHER/SOFT TISSUE: Swelling around the greater trochanter.
Conclusion
Focal lesion at the base of the greater trochanter, cortical or subcortical, in a 14-year-old strongly favors osteoid osteoma.
Case Discussion
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Jenny T Bencardino, MD
Vice-Chair, Academic Affairs Department of Radiology
Montefiore Radiology
Matthew Chanin, MD
Radiologist
ProScan
Edward Smitaman, MD
Clinical Associate Professor
University of California San Diego
Todd D. Greenberg, MD
Radiologist
ProScan
Tags
Musculoskeletal (MSK)
MRI
Hip & Thigh
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