sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

H/O traumatic posterior dislocation of the right shoulder on 00.00.00.

EXAMINATION :

M.R.I of the right 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 a depression of the humeral head along its postero-lateral margin which most likely represents a compression fracture (Hill-Sachs lesion) in the given clinical setting. This lesion appears as a hyperintense centre with perilesional hypointense signal on the T1 Weighted images and appears homogeneously hyperintense on the T2 Weighted and GRASS images. Probable avulsion of the inferior gleno-humeral ligament is noted, with blunting of the inferior lip of the labrum. Fluid is noted in the gleno-humeral joint.

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.
Scan-00006



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 acromio-clavicular joint is normal. The acromion process is seen to be sloping posteriorly.

The visualized axilla is unremarkable.

IMPRESSION :

1. A depression of the humeral head along its postero-lateral margin most likely represents a compression fracture (Hill-Sachs lesion) in the given clinical setting.

2. Probable avulsion of the inferior gleno-humeral ligament with blunting of the inferior lip of the labrum.

3. Fluid in the gleno-humeral joint.