Hello, I had a follow up MRI this past week at HSS. Looks like I have tendonitis/tendonosis in multiple locations around my hip.
EXAM: MRI HIP RIGHT WO CONTRAST
TECHNIQUE: MRI of the right hip was performed utilizing axial, sagittal, and coronal fast spin echo techniques, as well as MAVRIC coronal inversion recovery and coronal proton density pulse sequences for purposes of metal artifact reduction.
HISTORY: Status post right total hip arthroplasty. Now with anterior right hip pain.
COMPARISON: Radiographs from 9/9/2021 and MRI from 6/10/2020
The previously seen right hip resurfacing arthroplasty has been removed, and there is a new right total hip arthroplasty. There is no occult pelvic or periprosthetic fracture. There is no osteonecrosis of the native left hip.
Dedicated images of the right hip demonstrate a well fixed femoral component. A new small area of cystic change is seen along the proximal aspect of the femur with minimal adjacent stress reaction. The acetabular component is not loose. There is minimal synovial expansion, increased from the prior examination, but without MR features suggestive of active infection or aggressive adverse reaction to wear debris. The hip joint capsule is remodeled.
There is no trochanteric, iliopsoas, or ischial bursitis. The short external rotator muscles are somewhat atrophic. The posterior footprint gluteus medius is maintained. There is mild tendinosis of the anterolateral footprint gluteus medius. Moderate gluteus minimus tendinosis is seen. The abductor muscle bulk is preserved. The iliopsoas tendon is not torn, and the muscle bulk is maintained. The rectus femoris origin is mildly degenerated, and there is bony remodeling of the anteroinferior iliac spine. No stress reaction is seen at the symphysis pubis. There is mild bilateral proximal hamstring tendinosis.
Disc degeneration is identified in the lower lumbar spine. Fat planes surrounding the sciatic nerves are preserved.
There is no pelvic lymphadenopathy. Fat extends into the left inguinal canal.
Magnetic resonance imaging of the right hip, status post arthroplasty, demonstrates no new features of component loosening, periprosthetic fracture, active infection, or aggressive adverse reaction to wear debris. There is minimal stress reaction within the greater trochanter, adjacent to an area of cystic change.
Final Report: Dictated by and Personally Viewed and Signed by Shari Jawetz MD. Released Date and Time: 11/18/2021 8:26 AM.