82F Hip pain, fell 1 month ago. MRI, marrow question. Please Help.

I am extremely happy to be a part of this group and want to thank everyone for sharing their interesting cases and thoughts.
In accordance with discussions held in the last few days, just this week, I examined a F, 50 years old, with acute myeloid leukemia diagnosed in the last quarter of last year, with chemotherapy started in October 2023, who complains of pain in the left shoulder.
Apart to rotator cuff tendinopathies, please help me classify bone structure changes. It seems to me that I distinguish intraosseous, gadophilic vascular pathways, but I think that is not all. Your opinions would help me a lot.

I wish you all, a more than perfect 2024!


Cor T1 and PDFS Sag PDFS

This doesn’t look like Grandma’s osteoporosis.
What is going on here????

There is a large parafoveal chondral defect, a small effusion and labral tear…but no fracture….I’m only inquiring about the marrow signal abnormality.

Thanks.

Hilary

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