Femoral head lesion

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F 62, left hip pain. Suspected impingement.

There’s a subchondral / subcortical bone lesion at the anterior aspect of the left femoral head with cystic and fatty components, possibly also some calcification.
To me it doesn’t look like a typical impingement lesion / herniation pit.
More like cystic degeneration of an intraosseous lipoma, or an LSMFT.

She also has chondropathy with subchondral cysts and mild trochanter bursitis (not shown).

What is your impression?

Andrei

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