MedMantra.com https://www.medmantra.com Sat, 02 Nov 2024 10:27:06 +0000 en-gb 13291 https://www.medmantra.com/item/1915-13291 https://www.medmantra.com/item/1915-13291 sb/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Furniturelmn / F / 69 yrs.
Referred by : Dr. Abc Xyz. Modi.
Examination : M.R.I. of the Right Shoulder Joint.

CLINICAL PROFILE :

C/O pain in the right shoulder joint since 1 month.

EXAMINATION :

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

4 mm thick T1 Weighted sagittal images.

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

PATIENT DID NOT CO-OPERATE FOR FURTHER EXAMINATION.

OBSERVATION :

There is irregularity of the greater tuberosity of the right humerus with marginal osteophytes. There is evidence of a complete rupture of the tendinous insertion of the supraspinatous muscle with retraction of the muscle belly. Fluid is noted in the subdeltoid and subacromial bursae. A cystic lesion which is slightly hyperintense to CSF on all the pulse sequences is noted at the junction of the head and neck of right humerus which may represent a degenerative cyst.

It is difficult to assess the glenoid labrum as the patient did not allow a complete evaluation. There is however, no obvious labral injury at the superior and inferior glenoid rims.








The acromion process is horizontally placed and has an antero-inferior hook suggesting Type III acromion process. Degeneration of the acromio-clavicular joint is noted. There is a small gleno-humeral joint effusion.

The head of the right humerus shows normal contour.

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

IMPRESSION :

The MRI features suggest a complete tear of the supraspinatous muscle of the right shoulder joint at its tendinous insertion with irregularity of the greater tuberosity of the right humerus. These changes are most likely degenerative in etiology. Type III acromion process is noted with degeneration of the acromio- clavicular joint. A degenerative cyst is noted in the head/neck of the right humerus.


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