Date : 00.00.00
Name of the Patient : Abc Xyz Kaplmn / M / 24 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Left_ Shoulder.
CLINICAL PROFILE :
C/O pain in the left shoulder with inability to lift up the left hand and slight swelling since 7 days.
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 coronal images.
There is evidence of fluid along the tendon of the subscapularis muscle (subscapularis bursa). A small effusion is seen within the left shoulder joint with fluid along the tendon of the long head of the biceps. A sliver of the fluid is seen in the subdeltoid bursa.
A subcentimeters hypointensity on the T1 Weighted images which turn hyperintense on the GRASS images is seen within the left humeral head and may represent a cyst (se/im 107/4 & 108/4).
The head of the left humerus shows normal contour. The visualized scapula appears normal. The glenoid labrum is unremarkable.
The articular cartilage of the head of the left humerus appears normal.
The tendinous insertion of the supraspinatus muscle shows normal signal intensity. There is no evidence of a tear of the supraspinatus muscle.
- 2 - scan-00001
The acromio-clavicular joint is normal. The acromian process is seen to slope posteriorly.
The visualized axilla is unremarkable.
The MRI features are suggestive of a small effusion within the left shoulder joint and fluid in the subscapularis bursa.