Date : 00.00.0000
Name of the Patient : Abc Xyzrilmn / F / 64 yrs.
Referred by : Dr. Abc XyzBR>
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O pain in the left upper arm with 2 lumps since October 0000.
M.R.I of the left shoulder was performed using the following parameters :
6 mm thick T1 Weighted and STIR axial images.
6 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
Vitamin E capsules were placed at the site of lesion.
There is evidence of fluid within the subacromial bursa, subdeltoid bursa within the gleno-humeral joint and along the tendon of the biceps.
The head of the left humerus shows normal contour and the head and upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. 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 a tear of the supraspinatus muscle.
The deltoid muscle appears to be smaller in bulk as compared to the other muscles.
Note is made of hypertrophic degenerative changes in the acromion-clavicular joint with impingement of the supraspinatus muscle.
There is no obvious bone erosion or destruction seen.
The visualized axilla is unremarkable.
There is no mass lesion seen in the left shoulder joint or the visualized upper arm. The subcutaneous fat around the left shoulder joint shows uniform signal characteristics.
1. Fluid within the subacromial bursa, subdeltoid bursa
within the gleno-humeral joint and along the tendon of the biceps.
2. Hypertrophic degenerative changes of the left acromioclavicular joint with impingement of the supraspinatous muscle.
3. Atrophy of the deltoid muscle as compared to the other muscles.
4. No obvious focal, soft tissue mass lesion is identified on this study.