A 20-year-old human immunodeficiency virus-negative female presented with chronic hip pain, which progressively worsened over 3 months. Coronal T1-weighted fat sat post-contrasted magnetic resonance imaging of the pelvis demonstrates rim-enhancing masses within the greater trochanter and intertrochanteric space (images not included), which communicates with the right trochanteric bursa. Rim-enhancing abscesses (solid white arrows) extend from the bursa, inferiorly underneath the ilio-tibial band. Tuberculous osteitis with overlying bursitis and cold abscess formation was confirmed on tissue Gene expert.