Multiplanar multi-sequence MRA imaging of the right hip performed following intra-articular injection of 0.01% gadolinium solution. Adequate joint distension achieved. Over-coverage of the femoral head by the bony acetabulum with pincer type femoroacetabular impingement. Abnormal contour at posterior and inferior head/neck junction with an inferiorly projecting bony bump/osteophyte.
The superior labrum is blunted with superior labral tear (11-1 o'clock). In addition, there is a tear of the posterior labrum (3 - 5 o'clock).
There is loss of articular cartilage superiorly with small subchondral cysts medially.
Normal appearance of the iliopsoas, gluteal, and hamstring tendons. No muscle abnormality. No evidence of trochanteric bursitis.
Conclusion:
Pincer type FAI with anterosuperior labral tear and posterior labral tear. Early degenerative changes are present.