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What Does My MRI Scan Report Indicate?
Question: Hello, I'm having alot of left hip pain, locking up etc. It is worse when I stand up after sitting or laying down (no matter the duration). The pain sometimes radiates to my left knee causing a little pressure, but not pain. I went to an orthopedist and for an MRI of my entire pelvis. Both doctors I've seen disagree. One says I have bone spurs, the other says it's not and that what's being identified as bone spurs is seen on both sides, not just where I have pain. Can you explain to me what these MRI results mean in simple terms? I'm especially concerned about the "Bones" and "impression" sections where it mentions "Os Acetabula bilaterally" or if I may have a labral tear that is not showing up on the MRI. Is this really bone spurs? Can this cause the pain that I'm feeling? I'm in so much pain and don't know what to do. A 2nd MRI was done of my lumbar only revealed my herniated discs at my L4/L5 from a car accident a few years ago, so there was no nerve damage that was reported. Here are the findings of the Pelvic MRI:
JOINT FLUID/SYNOVIUM: Physiologic joint fluid bilaterally.
BONES: Small amount of edema in the superior lateral aspect of the acetabula bilaterally with os acetabuli seen on series 104 image 16. The femoral head to neck morphology is normal. No fracture. No edema in the femoral heads. No avascular necrosis. Sacroiliac joints appear normal.
LABRUM: No gross labral tear identified with limitations of physiologic joint fluid, body habitus and field-of-view.
TENDONS: The gluteal and iliopsoas tendon insertions are intact. The hamstring and rectus femoris tendon origins are intact. There is no iliopsoas or trochanteric bursitis.
MUSCLES: There is no edema or disproportionate atrophy
IMPRESSION:
Os acetabula bilaterally with mild nonspecific edema in the superior lateral acetabulae bilaterally.
No evidence of hip fracture, avascular necrosis or significant arthritic change.Correction...both doctors disagreed on the issue of whether or not it was bone spurs seen on the initial X-RAYS taken, not the MRI. They both agreed that more information was needed, so that's why I was sent for the MRI. The first doctor only took xrays of my left hip; the 2nd doctor took x-rays of both my left and right hip for comparison purposes. I apologize for the confusion.
JOINT FLUID/SYNOVIUM: Physiologic joint fluid bilaterally.
BONES: Small amount of edema in the superior lateral aspect of the acetabula bilaterally with os acetabuli seen on series 104 image 16. The femoral head to neck morphology is normal. No fracture. No edema in the femoral heads. No avascular necrosis. Sacroiliac joints appear normal.
LABRUM: No gross labral tear identified with limitations of physiologic joint fluid, body habitus and field-of-view.
TENDONS: The gluteal and iliopsoas tendon insertions are intact. The hamstring and rectus femoris tendon origins are intact. There is no iliopsoas or trochanteric bursitis.
MUSCLES: There is no edema or disproportionate atrophy
IMPRESSION:
Os acetabula bilaterally with mild nonspecific edema in the superior lateral acetabulae bilaterally.
No evidence of hip fracture, avascular necrosis or significant arthritic change.Correction...both doctors disagreed on the issue of whether or not it was bone spurs seen on the initial X-RAYS taken, not the MRI. They both agreed that more information was needed, so that's why I was sent for the MRI. The first doctor only took xrays of my left hip; the 2nd doctor took x-rays of both my left and right hip for comparison purposes. I apologize for the confusion.
Brief Answer:
Bilateral mild inflammation.
Detailed Answer:
Hello,
Thanks for posting your query.
Os acetabula refers to a separate ossification centers of acetabular margin. These are physiologic variations and are not painful.
There is no mention of bone spurs on MRI scan. The mild edema is suggestive of an inflammatory change.
Since the changes are seen bilaterally and the pain is only on one side the pain is not likely to be related to these changes. This can be related to muscle spasm or a neural cause. You can take an oral muscle relaxant with pain killer and see if it helps.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Bilateral mild inflammation.
Detailed Answer:
Hello,
Thanks for posting your query.
Os acetabula refers to a separate ossification centers of acetabular margin. These are physiologic variations and are not painful.
There is no mention of bone spurs on MRI scan. The mild edema is suggestive of an inflammatory change.
Since the changes are seen bilaterally and the pain is only on one side the pain is not likely to be related to these changes. This can be related to muscle spasm or a neural cause. You can take an oral muscle relaxant with pain killer and see if it helps.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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