FINDINGS:MRI RIGHT SHOULDERThere is evidence of intrasubstance altered signal intensity in the form of T2 /STIR hyperintensity is seen involving the supraspinatus tendon suggestive of tendinosis.
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There is evidence of subarticular irregularity and reduced joint space is seen at acromioclavicular joint suggestive of arthritis.
Moderate to gross shoulder joint effusion is seen with free fluid extending into the subcoracoid, subarcomion and subdeltoid bursae.
There is evidence of altered signal intensity with stripping of the inferior labrum is seen from 3 to 40 clock position with no definite evidence of bony fracture likely soft Bankart's lesion.
There is evidence of wedge shaped deformity is seen at the posterolateral aspect of humeral head above the level of coracoid with surrounding marrow edema, likely Hill Sach's lesion.
Rest of the rotator cuff and rotator interval appear normal.
The glenoid labrum is normal in size, shape and signal intensity. No evidence of any intrinsic signal change or tear is seen.
Gleno humeral articulation appears normal.
Rest of the visualised bones and neurovascular bundles appear normal.
IMPRESSION: - MR study reveals:
Supraspinatus tendinosis.
Acromioclavicular joint arthritis.
Moderate to gross shoulder joint effusion.
Hill Sach's lesion as described above.
Soft Bankart lesion as described above.
Please correlate clinically.
DR BHAVESH PATEL MBBS, DNB ( Radio - Diagnosis ) DMC No 58924
