Date : 00.00.00
Name of the Patient : Abc Xyzr S. Panjlmn / M / 24 yrs.
Referred by : Dr. Abc Xyz. Modi.
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O pain in the left shoulder joint with inability to lift the LUE.
H/O aspiration of pus from the left shoulder joint 16 days back.
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 seen an ill-defined, hyperintense signal on the proton, T2 Weighted and GRASS images in the region of the greater tuberosity of the left humerus. This lesion appears hypointense to normal marrow on the T1 Weighted images. Fluid is noted in the subdeltoid bursa. There is no obvious break in the cortex of the left humeral head noted.
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. There is no joint effusion.
There is a focal intermediate signal on the T1 Weighted images in the tendinous insertion of the left supraspinatus muscle (scan 102.9). This lesion appears slightly hyperintense on the T2 Weighted images and may represent tendinous degeneration.
The acromion process is seen to be sloping posteriorly.
The visualized axilla is unremarkable.
1. Altered signal in the region of the greater tuberosity of the left humerus is not specific for a single etiology. This may represent osteitis (in view of the h/o aspiration of purulent material 16 days back).
2. Fluid in the subdeltoid bursa, (? purulent fluid).
3. Focal signal change in the tendinous insertion of the right supraspinatus muscle may suggest tendinous degeneration.