X-RAY REPORT

FINDINGS

• Reduced disc height at the visible lower lumbar levels, consistent with degenerative disc disease
• Marginal osteophyte formation noted

• Iliac wings, ischial tuberosities, and pubic rami are intact
• No acute pelvic ring fracture identified
• Pubic symphysis appears maintained
• Calcification visible in the region of the bladder/prostate (midline pelvic calcification — likely prostatic calcification or phlebolith), consistent with the patient's age

• Moderate-to-severe joint space narrowing of the superior femoroacetabular compartment
• Subchondral sclerosis at the superior acetabular roof and femoral head
• Osteophyte formation at the acetabular margins and femoral head-neck junction
• Femoral head morphology shows mild flattening/irregularity
• No acute fracture or dislocation

• Moderate joint space narrowing at the superior and medial compartments
• Subchondral sclerosis present
• Marginal osteophytes at the acetabular rim and femoral head-neck junction
• Femoral head retains relatively preserved spherical morphology compared to the right
• No fracture or dislocation

• Cortical margins intact bilaterally
• No periosteal reaction or lytic/sclerotic lesions
• No evidence of pathological fracture

IMPRESSION

1. Bilateral Hip Osteoarthritis (Coxarthrosis) — right > left
   • Right hip: Kellgren-Lawrence Grade III (moderate-severe) — significant joint space narrowing, subchondral sclerosis, definite osteophytes, mild femoral head deformity
   • Left hip: Kellgren-Lawrence Grade II–III (moderate) — joint space narrowing with osteophytes and subchondral sclerosis
2. Degenerative changes of the lumbar spine (spondylosis) at the visible segments
3. Pelvic calcification — likely prostatic calcification or phlebolith; clinical correlation advised

RECOMMENDATIONS

• Clinical correlation with symptoms (pain, range of motion, functional limitation)
• Conservative management: physiotherapy, analgesics (paracetamol ± NSAIDs with caution given age), walking aids
• If conservative treatment fails → Orthopaedic referral for consideration of Total Hip Replacement (THR), especially the right hip given the more advanced disease
• Bone density assessment (DEXA scan) recommended given age and degree of joint degeneration
• Urological evaluation if prostatic symptoms are present (midline calcification)

⚠️ Disclaimer: This AI-generated report is for educational and clinical decision-support purposes only. It does not replace formal reporting by a qualified radiologist. All findings must be correlated clinically by the treating physician.