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What Does This MRI Report Indicate?

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Posted on Mon, 28 Dec 2015
Question: Hi,
i have been having excruiating hip pain, with no relief of symptoms with a course of steriods. mri says a 1.5cm cyst on femoral head. What will they do?
Here r some of the pics, to my eye it looks like more than a cyst.. Lol
doctor
Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
wow, sure weren't many images of the hip

Detailed Answer:
And I'm not especially trained in MRI's, more in pharmacology/internal medicine.
Also, cannot diagnose, prescribe or treat without being there.
That Being Said. I seem to see a narrowing of the space between the femur and the pelvis and some irregularity in the corrsponding part of the pelvis. This implies an osteoarthritis process that is not very far along and without a great deal of deformity.

Of course, being the most common situation, I was expecting to see that and that is coloring my observations. Never the less seems to be wear and tear or previous injury causing a deformity that will likely get worse over decades and eventually be consdiered for replacement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (25 minutes later)
Here r three more. I have the whole MRI on a disc, but not sure how to upload. Anyway! I am in severepain and I just wanted your input. I can't get in to see ortho till XXXXXXX 12!
doctor
Answered by Dr. Dr. Matt Wachsman (4 minutes later)
Brief Answer:
Going with my first answer!

Detailed Answer:
The images are all over the place BUT, while a few show the hip, NONE show a good space between the hip and pelvis. This seems to support my first viewpoint. There are some irregularities I cannot really judge well with one image here and there, BUT would fit with my first views, which are by far the most common cause of hip pain.
Aspirin like drugs such as naproxen would be the first to use in osteoarthritis. Rest, limiting stress on it, might also be helpful.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (7 minutes later)
Thank you so much for your help! :-)
doctor
Answered by Dr. Dr. Matt Wachsman (7 minutes later)
Brief Answer:
You're very welcome

Detailed Answer:
and.... don't answer back right now, AND
I would be very interested to know how I did on the MRI reading. The Orthopedist is going to have the MRI, the official radiologist reading and the examination in front of him/her and be able to give the right answer.
I would be thrilled if you could send me a follow up THEN just so I know how I'm doing. (sending a reply NOW might mean you have to pay an extra fee later for a response that is for my benefit and not yours, and I'm not quite sure of the rules but I think you can send a free follow up if you haven't used up all the replies).

Thanks in advance.
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
doctor
Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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What Does This MRI Report Indicate?

Brief Answer: wow, sure weren't many images of the hip Detailed Answer: And I'm not especially trained in MRI's, more in pharmacology/internal medicine. Also, cannot diagnose, prescribe or treat without being there. That Being Said. I seem to see a narrowing of the space between the femur and the pelvis and some irregularity in the corrsponding part of the pelvis. This implies an osteoarthritis process that is not very far along and without a great deal of deformity. Of course, being the most common situation, I was expecting to see that and that is coloring my observations. Never the less seems to be wear and tear or previous injury causing a deformity that will likely get worse over decades and eventually be consdiered for replacement.