Question: Hi. I recently had the below MRI on my left hip done late last year. The resident called at the time and told me it was inflammation and to come in for injection. I basically blew it off for awhile. I then got online to look up my test results and got freaked out when I saw the red marrow present. I just happened to have a CBC done the next month on my yearly physical and everything was perfect. I contacted my Dr again last week and he had me do another CBC and it too was perfect.
I'm an active 45 year old male. Lift weights and do heavy dead lifting. I've had the left hip pain on and off for at least 5 years or so but this was the first MRI. I've been going on and off to a chiropractor. The Xray showed one hip is higher then the other.
Besides a recent hernia repair surgery last month I'm in good health but I'm still freaking out over the red marrow and thinking it is the start of cancer.
Any advice I'd appreciate. The orthopedic and family doctor didn't seem concerned.
XXXXXXX HISTORY: 45 years old Male with left hip pain

TECHNIQUE: Multiplanar MRI of the pelvic bones was performed using fluid sensitive and noncontrast T1 weighted sequences.

COMPARISON: None.

DISCUSSION:
The femoral heads are well-formed and seated within well-formed acetabula. There is no femoral avascular necrosis, fracture or significant osteoarthritis. There is no discrete left labral tear identified. There is no evidence of femoral acetabular
impingement.

There is mild disc desiccation at L5/S1. The sacroiliac joints are normal. There is mild pubic symphyseal osteoarthritis.

There is prominent red marrow within the axial skeleton, osseous pelvis, and proximal bilateral femurs.

There is no hip effusion or iliopsoas bursitis. There is minimal trochanteric bursal edema which is bilaterally symmetric.

There is no muscle atrophy or edema. The tendinous insertions of the gluteal and iliopsoas muscles, as well as the origins of the hamstrings, quadriceps and adductor muscle groups are intact. No evidence of sports hernia, as best assessed within the
limitations of the field-of-view of this exam.

No intrapelvic visceral abnormalities are seen.


IMPRESSION:

1. LOW-GRADE TROCHANTERIC BURSAL EDEMA, WHICH IS BILATERALLY SYMMETRIC.

2. PROMINENT RED MARROW WITHIN THE AXIAL SKELETON, OSSEOUS PELVIS, AND PROXIMAL BILATERAL FEMURS. CORRELATION WITH CBC MAY BE HELPFUL.

3. OTHERWISE, UNREMARKABLE MRI OF THE LEFT HIP.
***Final Report***
THE ATTENDING RADIOLOGIST INTERPRETED THIS STUDY WITH THE RESIDENT
WHOSE NAME APPEARS BELOW, AND FULLY AGREES WITH THE REPORT
AND HAS AMENDED THE REPORT WHEN NECESSARY: