I have no clinical information other than Right hip pain
There is obvious asymmetric enlargement of the Right AIIS which is relatively low lying
Clearly the remodeling of the AIIS is chronic, presumably the result of previous avulsive stress.
I see the intratendinous calcification at the origin of the rectus femoris….it looks too smooth to be an acute/subacute avulsion and I don’t see a donor site.
I don’t see the "distal CAM" that is described with subspine impingement, though I’m not sure XR is sensitive for its detection.
Is there a reason to recommend MRI or would XR findings and clinical / physical exam findings suffice to guide management?
Who am I kidding? Nobody.
I recommended MRI….if / when I see it, I will share it with you
