Date : 00.00.00
Name of the Patient : Abc Xyzralmn / M / 70 yrs.
Referred by : Dr. Abc Xyzidhwa.
Examination : M.R.I. of the Right Shoulder.
CLINICAL PROFILE :
C/O pain in the right shoulder since 1 year.
H/O cervical spondylosis.
M.R.I of the right shoulder was performed using the following parameters :
4 mm thick T1 Weighted and GRASS axial images.
4 mm thick T2 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
There is a discontinuity of the tendinous insertion of the supraspinatous muscle with a complete tear of the tendon approximately 1.5 cms distal to the greater tuberosity of the right humerus. Slight retraction of the supraspinatous muscle is noted.
A hyperintense signal on the T2 Weighted images is noted along the course of the supraspinatous tendon which may represent fluid. Fluid is also noted in the subacromial bursa, gleno-humeral joint and in the subdeltoid bursa.
There is an ill-defined hyperintense signal on the T2 Weighted and GRASS images along the tendon of the subscapularis muscle. This may suggest a partial tear/strain of the tendon. Fluid is also noted around subscapularis tendon.
Slight decrease in the bulk of the supraspinatous muscle is noted.
The head of the right humerus shows normal contour and the head and upper shaft of the right 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 right humerus appears normal.
There is no bone erosion or destruction seen.
The acromio-clavicular joint is normal. The acromion process is oriented horizontally.
The visualized axilla is unremarkable.
1. A complete tear of the tendon of the supraspinatous muscle about 1.5 cms distal to its insertion at the greater tuberosity of the right humerus.
2. Fluid in the subacromial and subdeltoid bursae and in the gleno-humeral joint.
3. Partial tear/strain in the subscapularis tendon.