LUCKYDOG
Active member
I can't see a doctor until Wednesday but here are the results! What do you think? Surgery?
Impression
IMPRESSION:
1. Full-thickness irregular anterior marginal tear supraspinatus
footprint insertion.
2. Partial articular side thinning infraspinatus tendon without
complete detachment but significant edema along the deep aspect of
infraspinatus muscle belly.
3. Tendinopathy subscapularis tendon without complete tear or
delamination.
4. Small SLAP 2 tear long head biceps tendon.
5. Degenerative findings glenohumeral joint and AC joint.
6. Subacromial subdeltoid bursitis.
This study was interpreted by an American Board of Radiology certified
and fellowship trained musculoskeletal radiologist who can be reached
at (720) 493-3777.
THIS DOCUMENT HAS BEEN ELECTRONICALLY SIGNED:
MICHAEL OTTE, MD
11/20/2023 10:19 MST
Contributed By:
Narrative
MRI OF THE RIGHT SHOULDER WITHOUT INTRAVENOUS CONTRAST
NO ARTHROGRAM
EXAM DATE AND TIME: 11/20/2023 9:24 MST
INDICATION: Motor vehicle crash with shoulder trauma and pain
EPISODE OF CARE: Initial.
TECHNIQUE: Standard multiplanar, multisequence imaging of the
shoulder was performed without intravenous contrast using sequences
including coronal oblique and sagittal oblique T1, T2 with and without
spectral fat-saturation or STIR.
COMPARISON: X-rays 10/24/2023
FINDINGS:
OSSEOUS OUTLET: The acromial epiphysis is fused. The acromial
undersurface is flat. AC joint arthropathy is moderate with small
internally projected osteophytes and areas of capsular hypertrophy and
transchondral cyst development. There is diffuse subacromial
subdeltoid bursitis fluid. Thickening of arch ligaments is seen.
Deltoid muscle volume and signal intensity are normal
ROTATOR CUFF: A full-thickness irregular anterior marginal tear of
the supraspinatus anterior footprint insertion is noted. The tear
extends through the anterior tendon footprint margin reaching 9 x 16
mm in length. Fibrous expansile tendinopathy remaining supraspinatus
is seen to the myotendinous junction. The infraspinatus tendon shows
modest articular side thinning of less than 50% over the distal 20 mm
at the anterior superior thinning edge. No complete detachment but
significant edema along the deep aspect of infraspinatus muscle. The
subscapularis tendon show significant fibrillation abutting the
rotator interval without delamination or complete tear. There is no
significant muscular fatty replacement
LABRAL AND CAPSULAR COMPLEX: Anterior labrum is intact without
scapular glenoid periosteal stripping or displacement. Fibrillation
and degenerative change of the posterior labrum without calcified
Bennet's lesion noted. No juxta articular cysts are present. There
is no capsular avulsion or secondary change of capsulitis with very
little fluid in the joint for distention
OSSEOUS STRUCTURES: No cephalad migration or decentering is seen.
Modest osteoporosis findings with glenoid marginal osteophytes are
seen. Traction cysts of the greater tuberosity are developing.
Chondral surfaces are otherwise show no full-thickness defects
BICEPS COMPLEX: Extra articular long head biceps tendon unit is
intact. No dislocation or rupture through the rotator interval is
seen. Tendinopathy of the anchor is seen with a small SLAP 2 tear.
The spinoglenoid notch region is clear
MISCELLANEOUS: There are no detectable soft tissue masses or
adenopathy.
Impression
IMPRESSION:
1. Full-thickness irregular anterior marginal tear supraspinatus
footprint insertion.
2. Partial articular side thinning infraspinatus tendon without
complete detachment but significant edema along the deep aspect of
infraspinatus muscle belly.
3. Tendinopathy subscapularis tendon without complete tear or
delamination.
4. Small SLAP 2 tear long head biceps tendon.
5. Degenerative findings glenohumeral joint and AC joint.
6. Subacromial subdeltoid bursitis.
This study was interpreted by an American Board of Radiology certified
and fellowship trained musculoskeletal radiologist who can be reached
at (720) 493-3777.
THIS DOCUMENT HAS BEEN ELECTRONICALLY SIGNED:
MICHAEL OTTE, MD
11/20/2023 10:19 MST
Contributed By:
Narrative
MRI OF THE RIGHT SHOULDER WITHOUT INTRAVENOUS CONTRAST
NO ARTHROGRAM
EXAM DATE AND TIME: 11/20/2023 9:24 MST
INDICATION: Motor vehicle crash with shoulder trauma and pain
EPISODE OF CARE: Initial.
TECHNIQUE: Standard multiplanar, multisequence imaging of the
shoulder was performed without intravenous contrast using sequences
including coronal oblique and sagittal oblique T1, T2 with and without
spectral fat-saturation or STIR.
COMPARISON: X-rays 10/24/2023
FINDINGS:
OSSEOUS OUTLET: The acromial epiphysis is fused. The acromial
undersurface is flat. AC joint arthropathy is moderate with small
internally projected osteophytes and areas of capsular hypertrophy and
transchondral cyst development. There is diffuse subacromial
subdeltoid bursitis fluid. Thickening of arch ligaments is seen.
Deltoid muscle volume and signal intensity are normal
ROTATOR CUFF: A full-thickness irregular anterior marginal tear of
the supraspinatus anterior footprint insertion is noted. The tear
extends through the anterior tendon footprint margin reaching 9 x 16
mm in length. Fibrous expansile tendinopathy remaining supraspinatus
is seen to the myotendinous junction. The infraspinatus tendon shows
modest articular side thinning of less than 50% over the distal 20 mm
at the anterior superior thinning edge. No complete detachment but
significant edema along the deep aspect of infraspinatus muscle. The
subscapularis tendon show significant fibrillation abutting the
rotator interval without delamination or complete tear. There is no
significant muscular fatty replacement
LABRAL AND CAPSULAR COMPLEX: Anterior labrum is intact without
scapular glenoid periosteal stripping or displacement. Fibrillation
and degenerative change of the posterior labrum without calcified
Bennet's lesion noted. No juxta articular cysts are present. There
is no capsular avulsion or secondary change of capsulitis with very
little fluid in the joint for distention
OSSEOUS STRUCTURES: No cephalad migration or decentering is seen.
Modest osteoporosis findings with glenoid marginal osteophytes are
seen. Traction cysts of the greater tuberosity are developing.
Chondral surfaces are otherwise show no full-thickness defects
BICEPS COMPLEX: Extra articular long head biceps tendon unit is
intact. No dislocation or rupture through the rotator interval is
seen. Tendinopathy of the anchor is seen with a small SLAP 2 tear.
The spinoglenoid notch region is clear
MISCELLANEOUS: There are no detectable soft tissue masses or
adenopathy.
