85-year-old patient:
– with long-standing left hip pain
– X-rays requested
Showing images from an MRI


What is the most likely diagnosis?
Marked collapse of the articular surface of the left femoral head, along with fragmentation, indicative of osteonecrosis
Secondary dvanced degenerative changes in the hip joint
Reference: Mont MA et al: Nontraumatic osteonecrosis of the femoral head: where do we stand today? A 5-year update. J Bone Joint Surg Am. 102(12):1084-99, 2020



Signs of severe OA changes with bony ankylosing and femoral head flattening suggesting of an old AVN