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Musculoskeletal #40

85-year-old patient:
– with long-standing left hip pain
– X-rays requested

Showing images from an MRI

T2W Fat Sat
T1W

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

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