Abstract Background: Imaging findings play important role in diagnosis and directing the treatment for lateral hip pain. MRI plays a crucial role in the structural diagnoses accompanyin-glateral hip pain include tendinosis, and partial- or full-thickness tears of the gluteal tendons. Aim of Study: Todescribe the MRI findings related to the non-traumatic lateral hip pain. Patients and Methods: A retrospective study was per-formed including forty patients (35 females and 5 males, between the ages of 23 and 76 the mean ±  SD, 50.1±13.6 years) presented with unilateral or bilateral LHP and all patients underwent MRI for both hips. Two radiologists reviewed the MR images for identification of the lateral hip pathology. Results: In the 40 patients included in our study, there were (16) patients complaining of unilateral hip pain and (24) patients complaining of bilateral hip pain. (34) patients showed MRI features of tendon, muscle & bursal pathologies (either unilateral or bilateral), (4) patients showed AVN of the painful hip and (2) cases were diagnosed as transient migratory osteoporosis. Conclusion: MRI is a valuable method to identify the structural diagnoses accompanying lateral hip pain.