MRI Results

Monday morning got the MRI, Tuesday morning the results.

Dr L commented on how my report went into a second page, he doesn't see that often. Over distance as usual.

First off -- no fractures seen, that's great news. What did they find? Time for some anatomy lessons!

"There is no acute fracture or osteonecrosis. Specifically, there is no stress fracture.

Surface coil imaging of the left hip demonstrates undersurface fraying and a nondisplaced tear of the anterosuperior labrum, noted on series 6 image 22. The direct superior labrum is intact and there is a large para-labral recess, noted on series 7 image 16. The anterior labrum is diminutive but not torn.

There is preservation of articular cartilage. The ligamentum teres is deficient. The iliofemoral ligament is intact.

The short external rotators are intact. The posterior footprint of the gluteus medius is maintained. There is chronic low-grade longitudinal stripping of the anterolateral footprint, series 4 image 17. The gluteus minimus demonstrates moderate tendinosis, with adjacent osseous remodeling, but without tear noted on series 7 image 17.

The iliopsoas tendon is not torn.  There is not psoas bursitis. The direct and reflected heads of the rectus femoris are intact.

The fat planes surrounding the sciatic nerve are maintained. There is degeneration of the bilateral hamstring tendon origins.

Note is made of a partially imaged tear of the left adductor aponeurosis, series 4 image 27.

There is a small amount of fluid within the dependent portions of the pelvis, which may by physiologic.

Lower lumbar disc signal is preserved.

IMPRESSION:
MR left hip arthrogram demonstrates a focal tear of the anterosuperior labrum. Both the superior and direct anterior labrum are intact. Articular cartilage is maintained.

Note is made of a partially imaged tear of the left adductor aponeurosis, within the spectrum of a sports heria. Dedicated MRI imaging is offered as clinically indicated".

[and there are red spell check squiggles everywhere!]

So. For now. No SBR. Minimal walking. Unload as much as possible. Take the dog to the park, drive to work, and "pull all available strings" to see a recommended specialist at Wash U.

At the moment, I'm waiting on approval for the next MRI, and to hear again the name of the recommended hip surgeon.

Keeping calm.

And staring at the indicated images, wish I could see what they see, just so I could see it!