ke/sb/nl/rg.
Date : 00.00.0000

Name of the Patient : Abc Xyz Galmn / F / 60 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder joint since 4-5 months.

EXAMINATION :

M.R.I of the left shoulder was performed using the following parameters :

4 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted and Gradient sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted with coronal images.

OBSERVATION :

There is replacement of the normal marrow of the distal portion of the left clavicle and the acromion process by hypointense areas on the T1 Weighted images. These are seen to turn hyperintense on the T2 Weighted and Gradient images. The adjacent articular margins of the acromion process and clavicle are eroded with small cystic areas. A soft tissue swelling is seen around the acromio-clavicular joint which is of intermediate signal on the T1 Weighted images and turns hyperintense on the T2 Weighted and Gradient images. There is resultant mild indentation upon the tendon of the supraspinatus muscle.

The head of the left humerus shows normal contour and the head and upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.


The articular cartilage of the head of the left humerus appears normal.

There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle.

The visualized axilla is unremarkable.

IMPRESSION :

Altered signal intensity in the acromion process and the distal clavicle adjacent to the acromio-clavicular joint with soft tissue swelling (fluid) around the acromio-clavicular joint is
not specific for a single etiology. These changes are probably degenerative in etiology. The possibility of this being an infective process cannot be entirely ruled out.