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These Hips Don’t Lie

Clinician Reviews. 2019 June;29(6):11e-12e
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These Hips Don’t Lie

ANSWER

The radiograph shows no evidence of an acute fracture. Incidental findings include excreted contrast within the bladder and radiopaque markers from prostatic seed implants.

Fairly extensive sclerosis is noted within both femoral heads, which is suggestive of osteonecrosis (also known as avascular necrosis). Orthopedic consult was requested for further workup of this specific problem.