Date : 00.00.00
Name of the Patient : Abc XyzPalmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with numbness since 1 month.
H/O left shoulder dislocation in 0000.
M.R.I of the left shoulder was performed using the following parameters :
5 mm thick T1 Weighted and GRASS axial images.
4 mm thick T1 Weighted oblique sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted oblique coronal images.
There are subcentimeter diameter sized lesions within the subarticular aspect of the posterior portion of the left humeral head. These are hypointense on the T1 Weighted images and turn hyperintense on the T2 Weighted and GRASS images and would represent cystic changes.
A very small amount of fluid is seen within the left shoulder joint.
The left acromio-clavicular joint shows mild degenerative changes. The acromion is seen to slope laterally.
The upper shaft of the left humerus shows 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.
The tendinous insertion of the supraspinatus muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle. The soft tissues around the left shoulder joint are unremarkable.
The visualized axilla is unremarkable.
The MRI features are suggestive of :
1. Subarticular cysts in the left humeral head.
2. Mild degenerative changes within the left acromio-clavicular joint.
3. A very small left shoulder joint effusion.