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hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhan Dhalmn / F / 63 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder region with inability to lift the LUE since 2-3 months.

EXAMINATION :

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

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

4 mm thick T1 Weighted oblique sagittal images.

4 mm thick T1 Weighted and GRASS (with fat saturation) axial images.

OBSERVATION :

Subtle hyperintense signal is seen on the T2 Weighted images in the distal portion of the supraspinatus tendon.

Few hypointense foci on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images are seen within the head of the left humerus and may represent cystic changes.

Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images are seen within the left shoulder joint space, subscapularis bursa and along the tendon of the long head of the biceps within the bicipital groove and this may represent fluid. A very small amount of fluid is seen within the subacromial bursa.



The visualized upper shaft of the left humerus shows normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable.

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

The acromio-clavicular joint is normal.

An enlarged lymphnode is seen in the left axilla.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal within the distal portion of the supraspinatus tendon may suggest tendinosis.

2. Fluid/effusion within the left shoulder joint space, subscapularis bursa and along the tendon of the long head of the biceps within the bicipital groove and within the subacromial bursa.





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