Here is my MRI report.
Its actually taken me about 3-4 months to finally get this diagnosis, I’ve been resting for about 6 weeks.
EXAM: MRI LEFT HIP WITHOUT CONTRAST
CLINICAL INFORMATION: The patient describes a nine-month history of left hip and thigh pain status post fall. There is a given clinical concern for gluteal tendinopathy. No operative history.
TECHNICAL INFORMATION: Long TR coronal, sagittal, axial and oblique axial as well as short TR coronal imaging of the left hip was performed.
COMPARISON: None.
INTERPRETATION: MR imaging of the left hip reveals no characteristic signal abnormality within the femoral head to suggest AVN. No femoral neck nondisplaced or stress fracture is identified. Physiologic joint fluid is present. No abnormal synovial hyperplasia or intra-articular loose body is identified. The articular cartilage appears well preserved without osteoarthritic degenerative changes. Focal partial undermining of the anterior superior labrum at the 1:30 position is suggested on series 8, image 12; series 2, image 17; and series 6, images 5 through 7. The remainder of the acetabular labrum appears intact. Mild bony prominence is noted at the anterior femoral head/neck juncture; a finding which can be seen in association with femoroacetabular impingement in an appropriate clinical scenario. The anterior fibers of the gluteus medius which insert onto the lateral facet of the greater trochanter appear chronically attenuated in areas approaching full-thickness as seen on series 2, images 9 through 11; series 4, images 13 through 17. There is corresponding focal atrophy of the inferior aspect of the gluteus medius muscle belly. No fluid-intensity gap is identified to suggest acute tear, and there is no definitive MR imaging evidence of tendinosis at this time. No overlying greater trochanteric bursal effusion is identified. No iliopsoas bursal effusion is present. There is tendinosis and mild partial intrasubstance tearing of the common hamstring origin just beyond its ischial attachment as seen on series 4, images 17 through 23; series 2, images 3 through 5.
CONCLUSION:
- No significant left hip osteoarthritic degenerative changes.
- Focal partial undermining of the anterior superior labrum at the 1:30 position. MR arthrography may be of benefit to further define and characterize the labrum.
- Chronic attenuation of the anterior fibers of the gluteus medius at and just proximal to the greater trochanteric insertion. There is no fluid-intensity gap to suggest acute tear and no definitive hip abductor tendinosis at this time.
- Tendinosis and mild partial intrasubstance tearing of the common hamstring origin.
I’ve seen one doc who thinks the hamstring is causing all my other problems…but I see a specialist later today.
Anyone have any experience recovering from soemthing like this. I’ve been resting 6 weeks with little to no rehab because they thought it was a bulging disc at first. then they started listening to me and the pain I was feeling and took the mri of my hip. So here we are.