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Conflicting Hip MRI Findings (MD input requested)
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Anon_176914 posted:
Hello,

When I was 27 I underwent a Hip MRI due to a constant pain that didn't necessarily interfere with my life - just after several months of the dull pain I decided ot have it checked out. It revealed mild osteoarthritis. For 8 years it didn't worsen - I did the recommended things (PT, excercise, etc)...until January 2011.

Since January 2011 I wake up in excruciating left hip (mainly upper iliac crest thru thigh) pain ever 2-3 hours every night. Since I had back problems, and the spine surgeon thought the pain was related to back issues (from what I've read seems fairly common) and had back surgery last summer. Well, after surgery 4mos PT, 2 subtronchanter injections, etc - NO RELIEF!

In March 2011 I had a Hip MRI that found:
  • Mild acetabular labral degenerative change without acute tear or paralabral cyst. Mild left hip joint arthrosis with moderate signal hyperintensity but no focal defect.
  • Hip morphology suggests a mild degree of developmental dysplasia with mildly insufficient left head/neck ofset and slight productive osseoud changes.
  • There is no fracture or bone edema pattern.
  • Origin tendinosis of left common hamstring is present without acute tear.
  • Degenerative symphysis pubis changes are present with mild adductor tendinosis
The Hip MRI I had done a few days ago (4/21/12) found:
  • No greater trochanteric or iliopsoas bursitis. There is no stress fracture or osteonecrosis.
  • Images of hip demonstrate no labral tear. The articular cartilage over the hip joint is maintained. There is no effucion or synovitis.
  • The hamstring origins are normal. The sacroiliac joints are unremarkable.
  • Impression:
  • no findings to explain patient's left hip pain
  • Edema and enhancement in the superior endplate of L5 and inferior endplate of L4, which may be related to prior discectomy.
I had a post-op (1 mos after) lumbar MRI that I sent to the radiologist to compare - there is a a small amount of fluid in the fascia dorsal to the surgery site -

What could explain these completely different MRI reports? The recent one mentions nothing of arthritis, dysplagia, tendinosis, etc. Also, is it normal for there to be fluid in the lumbar region 8+mos post-op?
2 Replies |Watch This Discussion | Report This| Share this:Conflicting Hip MRI Findings (MD input requested)Hello,<br /> <br />When I was 27 I underwent a Hip MRI due to a constant pain that didn't necessarily interfere with my life - just after several months of the dull pain I decided ot have it checked out. It revealed mild osteoarthritis. For 8 years it didn't worsen - I did the recommended things (PT, excercise, etc)...until January 2011.<br /> <br />Since January 2011 I wake up in excruciating left hip (mainly upper iliac crest thru thigh) pain ever 2-3 hours every night. Since I had back problems, and the spine surgeon thought the pain was related to back issues (from what I've read seems fairly common) and had back surgery last summer. Well, after surgery 4mos PT, 2 subtronchanter injections, etc - NO RELIEF!<br /> <br />In March 2011 I had a Hip MRI that found:<br /> <ul><li>Mild acetabular labral degenerative change without acute tear or paralabral cyst. Mild left hip joint arthrosis with moderate signal hyperintensity but no focal defect.</li><li>Hip morphology suggests a mild degree of developmental dysplasia with mildly insufficient left head/neck ofset and slight productive osseoud changes.</li><li>There is no fracture or bone edema pattern.</li><li>Origin tendinosis of left common hamstring is present without acute tear.</li><li>Degenerative symphysis pubis changes are present with mild adductor tendinosis</li></ul>The Hip MRI I had done a few days ago (4/21/12) found:<br /> <ul><li>No greater trochanteric or iliopsoas bursitis. There is no stress fracture or osteonecrosis.</li><li>Images of hip demonstrate no labral tear. The articular cartilage over the hip joint is maintained. There is no effucion or synovitis.</li><li>The hamstring origins are normal. The sacroiliac joints are unremarkable.</li><li><b>Impression:</b></li><li>no findings to explain patient's left hip pain</li><li>Edema and enhancement in the superior endplate of L5 and inferior endplate of L4, which may be related to prior discectomy.</li></ul>I had a post-op (1 mos after) lumbar MRI that I sent to the radiologist to compare - there is a a small amount of fluid in the fascia dorsal to the surgery site - <br /> <br /><b>What could explain these completely different MRI reports?</b> The recent one mentions nothing of arthritis, dysplagia, tendinosis, etc. Also, <b>is it normal for there to be fluid in the lumbar region 8+mos post-op?</b>
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Anon_176914 responded:
DOCTORS, WebMD Staff - it really would be appreciated to have some type of feedback. How should a patient handle not just the pain and symptoms (which I know you can't really answer to) but more importantly the drastic differences in reports? Really at my wits end and do not know what to do.

Thanks
Report This| Share this:Conflicting Hip MRI Findings (MD input requested)<b>DOCTORS, WebMD Staff </b>- it really would be appreciated to have some type of feedback. How should a patient handle not just the pain and symptoms (which I know you can't really answer to) but more importantly the drastic differences in reports? Really at my wits end and do not know what to do.<br /> <br /> Thanks
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Caprice_WebMD_Staff replied to Anon_176914's response:
Hi,

Unfortunately there are no experts on this community, not yet anyway, and I am not a health professional.

I am hoping that others here who have some experience and medical insight may have some thoughts for you.

And keep talking with your doctors about these so they can help you understand what all is going on.
We must let go of the life we have planned, so as to accept the one that is waiting for us. ~Joseph Campbell
Report This| Share this:Conflicting Hip MRI Findings (MD input requested)Hi,<br /><br />Unfortunately there are no experts on this community, not yet anyway, and I am not a health professional.<br /><br />I am hoping that others here who have some experience and medical insight may have some thoughts for you.<br /><br />And keep talking with your doctors about these so they can help you understand what all is going on.
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