sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzo Sequlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Shoulder.
CLINICAL PROFILE :
C/O pain in the right shoulder since 6 years.
EXAMINATION :
M.R.I of the 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 well marginated linear, hyperintense signal on the T2 Weighted and GRASS images in the head of the right humerus extending upto the anterior cortical margin. This lesion follows fluid signal intensity and appears hypointense on the T1 Weighted images. There is no perilesional bone edema noted.
The head of the right humerus shows normal contour and the upper shaft of the right humerus shows 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 are unremarkable.
The acromio-clavicular joint is normal. The acromion process is seen to be sloping slightly posteriorly and laterally.
The visualized axilla is unremarkable.
IMPRESSION :
Linear altered signal in the head of the right humerus extending upto the anterior cortical margin, is not specific for a single etiology. This may be the result of previous trauma.