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What Does This MRI Report Indicate?

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Posted on Wed, 23 Dec 2015
Question: Severe hip pain in the back of my right hip, and in front hip/groin area. MRI results say 1.2cm cyst on femoral head. Radiologist said everything else normal but was mainly looking at SI joint due to previous inflammation from Psoriatic Arthritis. Is the Cyst causing pain? Do you see anything else?

https://www.dropbox.com/s/e8yigqpini1pd0q/2015-12-04%2009.05.03.mov?dl=0

https://www.dropbox.com/s/yjwh7pxprk79gb6/2015-12-04%2009.04.18.mov?dl=0

https://www.dropbox.com/s/mu89bbxpul7am9y/2015-12-04%2009.03.27.mov?dl=0

https://www.dropbox.com/s/38kpdb1aj6a6ek7/2015-12-04%2009.02.52.mov?dl=0
doctor
Answered by Dr. Dr. Praveen Tayal (53 minutes later)
Brief Answer:
No major abnormality detected.

Detailed Answer:
Hello,
Thanks for posting your query.
The MRI scan images attached do not show any major abnormality other than a cyst. The cyst alone is not likely to cause the severe pain like you have described.
It is best to consult a neurologist as such severe pain is often a nerve related pain. Rest, physiotherapy and pain killers can help in reducing the symptoms.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL XXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (17 hours later)
I just wanted to let you know that in all the reaearch I have done, and in speaking with an Orthopedic Surgeon, a 1.2 cm cyst on the femoral head/ acetabulumcan cause horrible pain and requires biopsy and removal. So to say that this is "normal other than the cyst", seems a bit off.
doctor
Answered by Dr. Dr. Praveen Tayal (17 hours later)
Brief Answer:
Biopsy needed if it is actively growing.

Detailed Answer:
A 1.2 cm cyst that is causing an acute pain must be growing actively. A serial scan is needed to comment about its growth.
A removal is usually done if the cyst is growing actively. A biopsy will help in ruling out a malignancy.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (28 minutes later)
Thank you!
doctor
Answered by Dr. Dr. Praveen Tayal (1 minute later)
Brief Answer:
Most welcome.

Detailed Answer:
Please do keep me updated regarding the progress.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (10 hours later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
A small cyst detected.

Detailed Answer:
The report mentions about a 1.2 cm cyst at the femoral head. It is less likely to cause a severe pain even while resting .
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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What Does This MRI Report Indicate?

Brief Answer: No major abnormality detected. Detailed Answer: Hello, Thanks for posting your query. The MRI scan images attached do not show any major abnormality other than a cyst. The cyst alone is not likely to cause the severe pain like you have described. It is best to consult a neurologist as such severe pain is often a nerve related pain. Rest, physiotherapy and pain killers can help in reducing the symptoms. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL XXXX