What does my CT scan report indicate?

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Posted on Sat, 6 Jun 2015 in Bones, Muscles and Joints
Question:
38 yr old female... Severe hip pain for approx nine months or more... CT scan report shows advanced lower lumbar facet osteoarthosis... X-ray of hips States- soft tissue calcification, likely in labrum, lateral views show subchondral cysts in bilateral proximal femur at Junction of head and neck indicating chronic impaction syndrome. Posterior lateral right acetabular shows subchondral cyst and minimal sclerosis. Chronic spurring at the public symphasis.
Need clarification... What kind of doc should I be seeing? What can be done? Have had injections from rheumatologist but has not helped.
doctor
Answered by Dr. Vaibhav Gandhi 1 hour later
Brief Answer:
Your hip x ray shows cyst around joint which can be due to avascular necros

Detailed Answer:
Hello,

I have studied your case.

1. Your hip x ray shows cyst around joint which can be due to avascular necrosis hip.
As per your x ray findings there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head [AVN].
I will advise you do MRI of hip and you can consult me with reports or with your doctor.

Till time take analgesic and cartilage protecting medication like glucosamine sulphate.
For hip arthritis joint flexion, extension and rotation exercises will help.
Physiotherapist will help you better to learn more exercises in proper protocol.
Diet rich in calcium and protein will help.

2. Spine CT shows facet joint arthritis which can be treated with local facet joint steroid injection under C- ARM guidance.
I will advise to check your vit B12 and vit D3 level.

An orthopedic surgeon will the the right doctor to manage this problem. He/she will also know about the details I mentioned her. Therefore I recommend you consulting an orthopedician.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Vaibhav Gandhi 10 hours later
Also, I forgot to mention.... I do have deficiencies in b12, vitamin d, and iron. I take b12 bi weekly thru injections and take 50,000 iu vit d three times a week. Also get iron infusions as needed.

What makes u think avascular necrosis rather than FAI? just trying to understand and get a grasp on all this. Been searching for answers for a long time. And will an mri be able to show the level of damage from the arthritis?
doctor
Answered by Dr. Vaibhav Gandhi 16 hours later
Brief Answer:
cyst on X ray also suggest possibility of avascular necrosis.

Detailed Answer:
Hello,

Continue your medicine for vit D and iron deficiencies.

Avascular necrosis is common in femoral head, common at your age group, cyst on X ray also suggest possibility of avascular necrosis.

Before doing any intervention for FAI its better to rule out possibility of AVN.

Yes good MRI will show cartilage damage also.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

If you find this answer helpful do not hesitate to rate this answer at end of discussion.

Take care.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaibhav Gandhi 2 days later
I added three x-rays.... Are u able to see them? Not sure how this site works but I added them in the "updates" section.... Was hoping u could see them... Please let me know. Thanks so much

Just checking in to make sure u received my follow up question and attached images? Please let me know. Thank u
doctor
Answered by Dr. Vaibhav Gandhi 42 hours later
Brief Answer:
There is no severe disease and hope you recover soon.

Detailed Answer:
Hello
I have seen your x rays,

There is no severe disease and hope you recover soon.

Acetabulum lateral cover is deficient.

MRI hip will be more helpful for details and severity of disease.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

If you find this answer helpful do not hesitate to rate this answer at end of discussion.

Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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