Date : 00.00.00
Name of the Patient : Abc XyzDalmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O pain in the left shoulder.
H/O dislocation of the left shoulder in April 0000 (while swimming) and in September 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 sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
There is a depression along the posterior margin of the head of the left humerus which is of intermediate signal on the T1 Weighted images and appears slightly hyperintense on the T2 Weighted and GRASS images. This represents a Hill-Sachs lesion.
A focal hypointense signal on all the pulse sequences in the proximal humeral shaft may represent a bone island.
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.
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.
There is no obvious bone erosion or destruction seen.
The acromio-clavicular joint is normal. The acromion process is downsloping.
The visualized axilla is unremarkable.
A depression along the posterior margin of the head of the left humerus with altered signal in that region represents a Hill-Sachs lesion.