sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzkant Jlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzthwani / Dr. Abc Xyzah.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

H/O fall with body weight on the left shoulder on 00.00.00 and difficulty to lift the LUE since then.

EXAMINATION :

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.

OBSERVATION :

There is seen an ill-defined, hypointense signal on the T1 Weighted images in the region of the lesser and greater tuberosity of the left humerus. This lesion appears hyperintense on the T2 Weighted and GRASS images. The margins of the greater and lesser tuberosities of the left humerus are not well delineated on this study. These tuberosities appear slightly depressed in relation to the humeral head.

There is evidence of avulsion of the anterior lip of the labrum, inferiorly, with altered signal (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted and GRASS images) in the antero-inferior glenoid rim.

Minimal fluid is noted in the gleno-humeral joint.





The articular cartilage of the head of the left humerus appears normal.

The tendinous insertion of the supraspinatous muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatous muscle.

The acromion process is seen to be sloping slightly posteriorly. Slight hypertrophy if the inferior margin of the acromio-clavicular joint is noted.

The visualized axilla is unremarkable.

IMPRESSION :

1. Altered signal in the region of the greater and lesser tuberosities of the left humerus with ill-defined margins suggest a fracture of the tuberosities with bone bruise.

2. Avulsion of the anterior lip of the labrum, inferiorly, with injury to the glenoid rim, antero-inferiorly.

3. Minimal fluid in the gleno-humeral joint.

4. Slight hypertrophy of the inferior margin of the acromio-clavicular joint.