Date : 00.00.00

Name of the Patient : Abc Xyz Dhlmn / F / 62 yrs.
Referred by : Dr. Abc Xyz. Desai.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

H/O fall on 00.00.00.
C/O pain and limitation of joint movement.

EXAMINATION :

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

4 mm thick T1 Weighted axial images and 5 mm thick GRASS axial images.

4 mm thick T1 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.

OBSERVATION :

There are mottled hypointense areas in the acromion process on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted and GRASS images. However there is no obvious fracture noted.

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 glenoid labrum is unremarkable. 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 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 soft tissues around the right shoulder joint, posteriorly, show a hyperintense signal on the T2 Weighted images suggesting soft tissue injury..
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There is no bone erosion or destruction seen.

The visualized axilla is unremarkable.

An osteophyte is noted along the inferior margin of the acromio-clavicular joint.

IMPRESSION :

1. Bone edema/bruise in the acromion process of the right shoulder.

2. Soft tissue injury around the right shoulder , more so superiorly and posteriorly.

3. An osteophyte along the inferior margin of the acromio-clavicular joint.