Name of the Patient : Abc Xyzm Klmn / M / 67 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O pain in the left shoulder with swelling over the back and inability to lift the LUE since 20-25 days.
M.R.I of the left 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.
4 mm thick T1 Weighted and GRASS (with fat saturation) axial images.
There is a hyperintense signal within the supraspinatus tendon at its insertion on the proton and T2 Weighted images. This may represent a partial tear.
Also seen is a tear of the anterior glenoid labrum.
There are degenerative changes in the left acromio-clavicular joint with minimal fluid within it. The acromion is horizontally placed with mild indentation upon the tendon of the supraspinatus muscle.
There is fluid in the subacromial bursa and within the left shoulder joint.
The head of the left humerus shows normal contour. The visualized scapula, the head and upper shaft of the left humerus show marrow inhomogenity. The visualized scapula appears normal.
The biceps tendon in the bicipital groove shows normal signal intensity.
There is no obvious bone erosion or destruction seen.
The visualized axilla is unremarkable.
1. Partial tear of the supraspinatus tendon at its insertion.
2. Tear of the anterior glenoid labrum.
3. Degenerative changes of the left acromio-clavicular joint.
4. Fluid in the left acromio-clavicular joint, in the subacromial bursa, within the left shoulder joint.