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What Does Cystic Lesions Involving The Head Of Left Femur & Acetabulum Indicate?

Posted on Mon, 12 May 2014

Question: Hi, I am 33 years old female,mother of 2 kids. I was having a lower back pain my dr asked me to take an MRI and x ray. I just now got my x ray report which states as below. My dr is out of station and wil be back only on tuesday. Could you please tell me if there is anything to worry? RADIOLOGY XRAY PELVIS BOTH HIP AP VIEW - There is a cystic lesion seen in the medial aspect of the head of left femur. - The left acetabulum is also expanded and shows multiloculated cystic lesion along its medial and superior portions. - The Iliopectineal line (cortex) is thickened. There is no obvious fracture. - There is evidence of osteitis condensans iliaca nvolving both illiac bones at the juxta articular portions of the SI joints. Both SI joint spaces are smooth & regular. - There is right hemisacralisation of the L5 vetebra. - The right hip joint, the right femur are normal. Pelvic soft tissues are normal. IMPRESSION * Cystic lesions involving the head of left femur & acetabulum -? cause. * Suggest CT / MRI scan for further evaluation.

Answered by Dr. Saurabh Gupta (40 minutes later)

Brief Answer: Do not worry. Detailed Answer: Hello, Thanks for your query. I have gone through the report attached. Cystic lesions involving the head of left femur & acetabulum seems to be benign in nature. Osteitis condensans ilii is a benign condition of unknown etiology found more often in women then in men. It is essentially a radiologic diagnosis. As you have no pain in left hip, do not worry and consult your doctor on appointment. I do hope that you have found something helpful and I will be glad to answer any further query. Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (3 minutes later)

hi does that have anything to do with cancer the cystic lesion. is there any treatment for the above issues

Answered by Dr. Saurabh Gupta (34 hours later)

Brief Answer: It does not look like cancerous lesion. Detailed Answer: Hi XXXXXXX From your symptoms and x-ray finding it does not look like cancerous lesion. However further evaluation by MRI/CT would be required. Osteitis condensans ilii usually requires no treatment. However, if you experience back pain, your doctor may recommend: Physical therapy Pain relievers, such as acetaminophen or ibuprofen. Warm regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E