sb/ke/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / M / 30 yrs.
Referred by : Dr. Abc Xyz. Desai.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

H/O catch in May 0000, with pain in the upper back radiating to the LUE and numbness in the left thumb for 4-5 days. Pain relieved but discomfort in the left shoulder persists.

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 T2 Weighted sagittal images.

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

OBSERVATION :

There is evidence of blunting of the anterior rim of the glenoid labrum with medial displacement of the avulsed labral fragment. The tendon of the subscapularis muscle appears slightly irregular and shows an ill-defined, hyperintense signal on the T2 Weighted images. There is however, no obvious discontinuity of the subscapularis tendon or the musculo-tendinous junction. Minimal fluid is noted in the gleno-humeral joint. The biceps tendon is visualized in the bicipital groove.

There is an ill-defined, hyperintense signal on the GRASS images at the tip of the tendinous insertion of the supraspinatous muscle. This lesion is of intermediate signal on the T1 Weighted images. Minimal fluid is noted in the subacromion bursa.







The acromion process is of Type I morphology and is seen to be sloping slightly laterally.

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

There is no bone erosion or destruction seen.

The acromio-clavicular joint is normal.

The visualized axilla is unremarkable.

IMPRESSION :

1. Blunting of the anterior glenoid labrum with an avulsed fragment suggest an anterior labral tear (Bankart lesion).

2. Slight irregularity of the subscapularis tendon with altered signal may suggest a partial tear/strain of the subscapularis tendon.

3. Altered signal at the tip of the tendinous insertion of the supraspinatous muscle may suggest a partial tear/tendinitis.

4. Minimal fluid in the gleno-humeral joint.