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Grossly distended sub gluteus maximus bursa with disruption anteriorly leading to swelling and oedema in the upper anterior thigh muscles. There is also a distended sub gluteus medius bursa (arrow) and a labral tear with minor paralabral cyst (circle). The gluteus medius tendon is partially disrupted at its trochanteric insertion laterally (but not supero-laterally) and associated with minor bone marrow oedema in the greater trochanter.