Posterosuperior dislocation of right femoral head is noted with empty right acetabulum with mild joint effusion in right hip joint with small chip fracture arising from posterior pillar of right acetabulum with soft tissue injury with right hemarthrosis

Study reveals normal alignment of the left hip joint.

Bilateral sacro-iliac joints are unremarkable.

IMPRESSION: 

• Posterosuperior dislocation of right femoral head with empty right acetabulum with mild joint effusion in right hip joint with small chip fracture arising from posterior pillar of right acetabulum with soft tissue injury with right hemarthrosis

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PELVIC BONES MULTISPIRAL COMPUTED TOMOGRAPHY

Description: CT of both hip joints has been performed in axial projection:

An interchange of the thinned bone tissue and sclerosis zones is determined in right femoral head: this might correspond to aseptic necrosis of the bone of the head. Similar changes are determined in bones forming cotyloid cavity. Articular split lumen is sharply narrowed on the right side; articular surfaces are deformed; massive osteophytes are differentiated on the edges of articular surfaces.  Right femoral head is flattened; femoral neck is shortened.

Subchondral sclerosis of the acetabular roof is determined on the left side. Articular surfaces are deformed. Height of articular split is lowered. Left femoral head is not flattened; femoral neck is not shortened. Destructive changes are not found.

On the edge of the researched field some single osteosclerosis areas with dimensions up to 6*5 mm are determined in iliac crest bones: bone islands probably.

Conclusion: Obtained data may correspond to aseptic necrosis of the right femoral head, arthrosis of Grade 3. Left hip joint arthrosis of
Grade 1-2.

Medical advice: Consulting with orthopaedicsurgeon and rheumatologist.

Left Femoral neck fracture 3 months ago.

Osteopetrosis, also known as Albers-Schönberg disease or marble bone disease, is an uncommon hereditary disorder that results from defective osteoclasts. Bones become sclerotic and thick, but their abnormal structure actually causes them to be weak and brittle.

A patient with oncology. Pain in the bones of the pelvis.
1) X-ray - areas of osteosclerosis, fracture of the right pubic bone.

2) Performed a low-dose CT scan of the pelvis (which is why the quality is so poor). We see multiple fractures of the pelvic bones.
3) Hybrid study with overlapping foci of accumulation of tropic RFP. We see that areas of sclerosis and fractures are actively accumulating RFP (from blue low to orange a lot).

This corresponds to multiple mts in the bone and corresponds to pathological fractures. these are 100% metastases

This case was sent me https://instagram.com/ajeremic91?igshid=1rflzfarn3ur8

Just added you on instagram, its an interesting case that I thought you should share. Its a 75 year old patient that has an infected prosthesis, Staphylococcus Epidermidis was isolated and he was administered proper antiobotic therapy. Its a great picture because the infection is so obvious, sometimes these infectons are not so apparent on xrays