MRI EXAMINATION OF THE RIGHT HIP WITHOUT CONTRAST

MRI EXAMINATION OF THE RIGHT HIP WITHOUT CONTRAST

FINDINGS:             There are degenerative changes and degenerative cystic changes noted especially at the acetabular region somewhat towards the anterior aspect superior to the femoral head.  There are also changes noted in the femoral head, which appear to represent degenerative changes, degenerative joint disease, and subtle degenerative cystic change seen anteriorly.  There are no significant changes to suggest avascular necrosis.  There is joint space loss.  There is no fracture or dislocation.  The ligaments and tendons appear intact and there is no significant change to suggest complete tear.  At the region of the greater trochanteric posteriorly, there is subtle strain to the attachment, but once again no significant tear, but the possibility of a subtle partial tear and strain appear to be present.  This is seen on images 14 and 15 of series 4.  The changes in the femoral head appear asymmetric compared to the left, which are seen on the coronal images.  The possibility of contusion in the femoral head cannot completely be excluded.  The remainder of the signal changes in the bone marrow showed no gross abnormality.

IMPRESSION:        Degenerative cystic changes noted in the acetabular region as discussed.  In the femoral head, there is an area of contusion versus degenerative joint disease and possibly other degenerative cystic changes.  There is also a partial strain of the attachment near the greater tronchanteric region posteriorly.  There is no evidence of fracture or joint effusion.  Please see comments above.  There are no prior examinations at this facility for comparison.

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MRI EXAMINATION OF THE RIGHT WRIST WITHOUT CONTRAST

MRI EXAMINATION OF THE RIGHT WRIST WITHOUT CONTRAST

INDICATION FOR STUDY:         Radiating pain.

FINDINGS:               Multiplanar and multisequence imaging was obtained on the 1.5 Tesla GE MRI without contrast.  There are slight chronic changes and degenerative changes.  The flexor and extensor retinaculum appears intact.  There is no ganglion cyst identified.  The triangular fibrocartilage shows slight chronic changes within it.  This may represent slight chronic tear, but there is no significant acute tear in the triangular fibrocartilage.  The remainder of the visualized structures show no other gross abnormality.  Would recommend clinical correlation or follow-up as needed.

Thank you for the referral.

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X-RAY EVALUATION OF THE CERVICAL SPINE - 2

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:  Views of the cervical spine shows disc space narrowing at C5-C6 and
C6-C7.  Oblique films suggest some osteophyte encroachment upon the neuroforamina at these levels and a cervical MRI is recommended for more definitive diagnosis.

The remaining vertebral body heights and disc spaces appear normally maintained.  The retropharyngeal and retrotracheal air space appears to be normal.

IMPRESSION:  Degenerative changes of the cervical spine at C5-C6 and C6-C7 as noted.  An MRI is recommended for further evaluation.

Thank you for the referral.

XXXXXXXX, M.D.