Could this be tumor or part of inflammatory process?

This young patient presented to the ER with severe left hip pain of sudden
onset. MR was ordered. Normal ER labs normal.
There is this area of poorly defined bone marrow edema like signal in the
posterior left acetabulum, left> right joint effusion, bilateral and
asymmetric changes in the SI joints and focal, subtendinous BME deep to the
Left hamstrings.
No femoral fracture or AVN.

Opinions please!

Thank you,

Rosemary Klecker

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1 thought on “Could this be tumor or part of inflammatory process?”

  1. OCAD
    snehansh.chaudhary

    Looks like multi-focal enthesopathy, likely part of an inflammatory process.

    Roy
    MSK Fellow, Oxford.

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