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CASE STUDY: MR RIGHT SHOULDER

HISTORY: SEVERE BILATERAL SHOULDER PAIN

COMPARISON: None

TECHNIQUE: Multiplanar images of the right shoulder were obtained at 1.5 Tesla without IV contrast

FINDINGS:

AC JOINT: There are mild hypertrophic degenerative changes of the acromioclavicular joint. There is mild narrowing of the subacromial space. There is minimal fluid within the subacromial subdeltoid bursa.

ROTATOR CUFF TENDONS:

Supraspinatus: There is thickening and edema of the distal supraspinatus tendon, with a partial interstitial tear of the tendon distally at its humeral insertion. There is reactive bone marrow edema within the greater tuberosity of the humerus.
Infraspinatus: There is abnormal signal along the distal infraspinatus tendon consistent with tendinosis.
Subscapularis: The subscapularis tendon appears normal.
Teres Minor: The teres minor tendon appears normal.

GLENOHUMERAL JOINT: The glenohumeral joint appears normal.

BICEPS TENDON: The biceps tendon attachment is intact.

LABRIUM: The glenoid labrum appears intact.

IMPRESSION: Narrow subacromial space, with secondary degenerative changes in the rotator cuff tendons and a partial interstitial tear involving the distal supraspinatus tendon at its humeral insertion. No full-thickness rotator cuff tear.

 

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