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I've never gotten a good explanation of these findings. Wonder if anyone can understand any of this. Thanks.
MRI
Accession NumberExam Date/TimeOrdered Test NameOrdering ProviderMR-13-00269892013-11-20 15:33:30MR LE Joint LT Hip wo Ctrst Mayus MD, Joseph LMR-13-00269912013-11-20 15:33:30MR LE Non JT LT Upper Leg wo Ctrst Mayus MD, Joseph L
Reason for Exam
1. Adductor muscle tear; pain
2. Adductor muscle tear; pain
Powerscribe Read
HISTORY: Adductor muscle tear; pain, bilateral groin pain, left greater than right.
COMPARISON: None.
TECHNIQUE: Two examinations are submitted. MRI of the left hip and MRI of the left thigh without contrast.
FINDINGS:
The osseous alignment is normal without acute fracture or dislocation. Both femoral heads are properly located within the respective acetabula. No significant joint effusion is seen in either hip. There is mild degenerative change involving the hips, pubic symphysis and SI joints. Mild right gluteus minimus insertional tendinopathy is identified without evidence of tear or superimposed bursitis. Muscle signal intensity is normal, except for fatty atrophy of the
MRI
paraspinal musculature. Within the left femoral diaphysis, there is an approximate 1.0 x 1.0 x 2.3 cm T1 hypointensity/T2 hyperintensity, for example seen on series 4, image 14 as well as series 5, image 12. There appears to be a few internal areas of fat remaining in this area. On series 6, image 16 of the left hip exam, there may be a smaller, but similar area in the right femoral diaphysis which measures 5-6 mm in size. 4 mm T1 hypointensities in the right ilium on series 3, image 5 and series 5, image 9 and also in the left ilium on series 3, image 10 and series 5, image 11 on the left hip exam are also seen. On fluid sensitive sequences these areas do not obtain significant signal. There are degenerative changes in the visualized lumbar spine. Areas of bone marrow edema in the L4 and L5 vertebral bodies are thought to be degenerative in nature.
Uterus is absent. There is a small amount of free fluid in the pelvis, for example seen on series 4, images 15 and 16 on the left hip exam.
IMPRESSION:
1. No acute abnormality in the left hip or left thigh. Specifically, no evidence of adductor muscle tear.
2. 2.3 cm area of T2 hyperintensity in the left femur and to a lesser degree the right femur as above. There appears to be mild fat within this area and this may represent marrow infiltration, possibly from an island of red marrow, nonspecific. There are smaller areas of T1 hypointensities in the right ilium and left ilium, too small to characterize. Followup MRI in 3-6 months without and with contrast is recommended to determine stability. Bone scan may also be of benefit.
3. Mild right gluteus minimus insertional tendinopathy without evidence of tear or superimposed bursitis.
MRI
MRI
Accession NumberExam Date/TimeOrdered Test NameOrdering ProviderMR-13-00269892013-11-20 15:33:30MR LE Joint LT Hip wo Ctrst Mayus MD, Joseph LMR-13-00269912013-11-20 15:33:30MR LE Non JT LT Upper Leg wo Ctrst Mayus MD, Joseph L
Reason for Exam
1. Adductor muscle tear; pain
2. Adductor muscle tear; pain
Powerscribe Read
HISTORY: Adductor muscle tear; pain, bilateral groin pain, left greater than right.
COMPARISON: None.
TECHNIQUE: Two examinations are submitted. MRI of the left hip and MRI of the left thigh without contrast.
FINDINGS:
The osseous alignment is normal without acute fracture or dislocation. Both femoral heads are properly located within the respective acetabula. No significant joint effusion is seen in either hip. There is mild degenerative change involving the hips, pubic symphysis and SI joints. Mild right gluteus minimus insertional tendinopathy is identified without evidence of tear or superimposed bursitis. Muscle signal intensity is normal, except for fatty atrophy of the
MRI
paraspinal musculature. Within the left femoral diaphysis, there is an approximate 1.0 x 1.0 x 2.3 cm T1 hypointensity/T2 hyperintensity, for example seen on series 4, image 14 as well as series 5, image 12. There appears to be a few internal areas of fat remaining in this area. On series 6, image 16 of the left hip exam, there may be a smaller, but similar area in the right femoral diaphysis which measures 5-6 mm in size. 4 mm T1 hypointensities in the right ilium on series 3, image 5 and series 5, image 9 and also in the left ilium on series 3, image 10 and series 5, image 11 on the left hip exam are also seen. On fluid sensitive sequences these areas do not obtain significant signal. There are degenerative changes in the visualized lumbar spine. Areas of bone marrow edema in the L4 and L5 vertebral bodies are thought to be degenerative in nature.
Uterus is absent. There is a small amount of free fluid in the pelvis, for example seen on series 4, images 15 and 16 on the left hip exam.
IMPRESSION:
1. No acute abnormality in the left hip or left thigh. Specifically, no evidence of adductor muscle tear.
2. 2.3 cm area of T2 hyperintensity in the left femur and to a lesser degree the right femur as above. There appears to be mild fat within this area and this may represent marrow infiltration, possibly from an island of red marrow, nonspecific. There are smaller areas of T1 hypointensities in the right ilium and left ilium, too small to characterize. Followup MRI in 3-6 months without and with contrast is recommended to determine stability. Bone scan may also be of benefit.
3. Mild right gluteus minimus insertional tendinopathy without evidence of tear or superimposed bursitis.
MRI
But some the readings can represent normal irregular bone pattern. Sometimes they recommend bone scan or repeat films to be sure that the unusual bone formation is not progressing at a rapid rate, which can mean bone tumors - but these are pretty rare.
Only a qualified physician can diagnose you properly by physical exam, looking at the CD and reviewing thr report.
The findings are likely benign.
There is a mention that the tendon is inflamed and this could be causing a lot of pain.
When is your follow up?
Areyou having leg and hip pain? It looks like you might have a little tendinitis, but I'm sure your Dr will let you know everything. I'm sorry you are hurting and hope your dr. can help alleviate it.
Hugs,
((((((((( )))))))))))
I hope you feel better. Inflamed tendon can be, very painful with every movement.
I plan on having an MRI of my right lower leg from knee down. It is an issue of pain and ongoing...
Is it possible that your pain is from your MS? I know that any nerve cell in the body is subject to the effects of MS.
Gentle hugs dear.