sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder and in the LUE with swelling and difficulty in lifting the LUE since 7-8 months.

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 an intermediate signal on the T1 Weighted images in the tendinous segment of the supraspinatous muscle. This signal remains isointense on all the pulse sequences (scans 104.9, 103.9, 102.9). Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint. There is no retraction of the supraspinatous muscle.

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 glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity. Fluid is also seen to track along the bicipital tendinous groove.

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

There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle.
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There is no obvious bone erosion or destruction seen.

The acromio-clavicular joint is normal. The acromion process is of Type I.

The visualized axilla is unremarkable.

IMPRESSION :

Altered signal in the tendinous segment of the supraspinatous muscle suggests degeneration. Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint.