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. Author manuscript; available in PMC: 2015 Feb 9.
Published in final edited form as: AJR Am J Roentgenol. 2015 Jan;204(1):140–147. doi: 10.2214/AJR.13.11785

Fig. 5.

Fig. 5

55-year-old woman with right metal-on-metal total hip arthroplasty who had elevated serum levels of chromium and cobalt.

A and B, Matched axial multiacquisition variable-resonance image combination selective (MAVRIC SL) inversion recovery (A) and 2D fast spin-echo (FSE) STIR (B) images. Joint effusion with capsular bulging (arrows, A) is seen in posterior aspect of right hip joint on MAVRIC SL but is not seen on 2D FSE. Diagnostic confidence of this image set was 5 (diagnosis cannot be made on 2D FSE but can be confidently made on MAVRIC SL) for both reviewers. Hip replacement was revised based on MR findings. Surgical diagnosis was adverse local tissue reaction. Foreign body reaction with chronic inflammation was identified in joint.