hs/ke/nl/rg.

Name of the Patient : Abc Xyz Kurdlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzh / Dr. Abc Xyzandya.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

C/O right shoulder pain and occasional headaches.

EXAMINATION :

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

4 mm thick T1 Weighted, Proton and T2 Weighted (with fat saturation) coronal images.
4 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted and GRASS axial images.

OBSERVATION :

There is evidence of a well-circumscribed area of hypointensity on all the pulse sequences within the glenoid and this may represent a bone island.

A tortuous, prominent blood vessel is seen within the deltoid muscle.

The head of the right humerus shows normal contour and the head and upper shaft of the right 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 right 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 right shoulder joint are unremarkable.
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There is no obvious bone erosion or destruction seen.

The acromio-clavicular joint is normal.

The visualized axilla is unremarkable.

The brain was screened with 5 mm thick T1 Weighted sagittal images. There is slight ectopia of the cerebellar tonsils. The brain parenchyma and ventricular system per se is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A focal area of altered signal intensity within the glenoid of the right shoulder joint and this may represent a bone island.

2. A tortuous/prominent blood vessel within the deltoid muscle.