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Normal Hip MRI Report Template
Normal hip MRI report template: marrow and femoral head signal, acetabular labrum, cartilage, joint fluid, abductor and iliopsoas tendons and the pelvic soft tissues, with notes on occult fracture, osteonecrosis and labral wording.
EXAMINATION: MRI [right/left] hip without intravenous contrast. CLINICAL HISTORY: [indication, e.g. “Hip pain”] COMPARISON: None available. TECHNIQUE: Multiplanar, multisequence MR imaging of the [right/left] hip without intravenous contrast, including large field-of-view coronal images of the pelvis. FINDINGS: Bones and marrow: Normal marrow signal throughout the femoral head, neck and acetabulum. No fracture, stress reaction or marrow edema. No evidence of osteonecrosis. No subchondral cyst. Joint and labrum: No significant joint effusion. The acetabular labrum is normal in morphology and signal. No labral tear or paralabral cyst. Cartilage: Articular cartilage of the femoral head and acetabulum is preserved. No full-thickness defect. Alignment and morphology: Normal femoral head coverage. No cam or pincer morphology. Tendons: The gluteus medius and minimus tendons are intact at the greater trochanter. The iliopsoas tendon is intact. The hamstring origins are intact. No tendinopathy or tear. Bursae: No trochanteric or iliopsoas bursitis. Muscles: Normal bulk and signal. No muscle strain or edema. Contralateral hip: Unremarkable on the large field-of-view images. Pelvis and visualized soft tissues: Unremarkable. No pelvic mass or lymphadenopathy. The visualized sacroiliac joints and pubic symphysis are normal. IMPRESSION: 1. Normal MRI of the [right/left] hip. No fracture, osteonecrosis or labral tear.
Dictation notes
- In a post-fall patient with a negative radiograph, the question is occult femoral neck fracture — state explicitly that the femoral neck and intertrochanteric region show no marrow edema or fracture line, because that single sentence is the reason the study was ordered.
- Osteonecrosis is a subchondral band with a double-line sign — report its location, the percent of the weight-bearing surface involved and whether there is subchondral collapse, since those determine joint-preserving versus arthroplasty options.
- A labral tear without arthrography is a conservative call — say “labral signal abnormality consistent with tear” only with fluid cleft or paralabral cyst, and offer MR arthrography when the indication is a young athlete with mechanical symptoms.
- Always read the contralateral hip and the pelvis on the large field-of-view coronal — bilateral osteonecrosis, a sacral insufficiency fracture or a pelvic mass is the “normal hip” that comes back as a miss.
- Gluteal tendon tears are the commonest cause of lateral hip pain over 50 — describe the gluteus medius and minimus insertions separately, with partial versus full thickness and retraction.
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