sb/hs/nl/rg.
Date : 00.00.0000

Name of the Patient : Abc Xyzm Plmn / M / 40 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder with restriction of movements of the left shoulder.

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 sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted (with fat saturation) coronal images.

OBSERVATION :

There is seen an intermediate signal on the T1 Weighted images in the tendon of the left supraspinatus muscle. This shows a subtle hyperintense signal on the T2 Weighted images. There is no retraction of the muscle belly of the supraspinatus muscle. The subdeltoid fat plane is well identified.

There appears to be synovial thickening around the glenoid. It is hypointense on all the pulse sequences.

Degenerative changes of the acromio-clavicular joint is noted with periarticular osteophytes along the inferior margin of the acromio-clavicular joint. The acromion process is horizontally oriented.

Minimal fluid is noted along the biceps tendon in the bicipital groove.


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 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 obvious bone erosion or destruction seen.

The visualized axilla is unremarkable.

IMPRESSION :

1. Intratendinous signal in the left supraspinatus muscle may suggest tendinitis (?? partial tear).

2. Degenerative changes of the acromio-clavicular joint with inferior, periarticular osteophytes.

3. Minimal fluid along the biceps tendon in the bicipital groove.

4. Synovial thickening along the glenoid (?? pigmented villonodular synovitis).