Avascular Necrosis

We had a 28 year old male come in for an MRI of his right hip. His symptoms were right hip pain for several weeks with no specific injury. The routine hip scan at my clinical site is to scan both hips for the majority of the series and then focus in on the hip of interest for two series. After running the first scan, it was apparent that the patient had something wrong with the bone in both hips. The tech that I was working with said that it could be avascular necrosis. He google searched MRI images of avascular necrosis so we could compare the images we were scanning to actual diagnosed avascular necrosis images. Although the patient had no complaints of left hip pain, given the obvious pathology we took it upon ourselves to scan an axial and coronal of just the left hip as well as the right. The next day I looked at the radiologist report to see if our diagnosis of avascular necrosis was actually the correct diagnosis, and it was. According to the report the patient had avascular necrosis of bilateral hips as well as a slight tear in the right labrum. This case was one of the most interesting pathologies I have seen so far in my clinical time.