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sb/hs/nl.rg.
Date : 00.00.00

Name of the Patient : Abc Xyzid Rlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

C/O pain in the right shoulder since 3 months.

EXAMINATION :

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 T1 Weighted and T2 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.

OBSERVATION :

There is seen a focal, intermediate signal intensity on all the pulse sequences in the tendon of the right supraspinatus muscle. This most likely suggests tendon degeneration/tendinitis.

There are degenerative changes of the right acromio-clavicular joint with marginal osteophytes impinging the musculo-tendinous junction of the right supraspinatus muscle.

There is a mild right shoulder joint effusion with fluid along the bicipital tendon in the bicipital groove. Small amount of fluid is seen within the subaromial and subscapularis bursae.

The head of the right humerus shows marginal osteophytes. 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 bicipital groove shows normal signal intensity.
- 2 - ..2/.


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

There is no evidence of fluid in the subdeltoid bursa.
The soft tissues around the right shoulder joint are unremarkable.

The acromion process is oriented horizontally.

The visualized axilla is unremarkable.

IMPRESSION :

1. Focal altered signal in the tendon of the right supraspinatus muscle most likely suggests tendon degeneration/tendinitis.

2. Degenerative changes of the right acromio-clavicular joint with impingement of the musculo-tendinous junction of the right supraspinatus muscle.

3. Effusion in the right shoulder joint.



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