CONTRAST:
MRI of the RIGHT shoulder without contrast.
Comparison:
CR PR - XRAY SHOULDER COMPLETE MIN 2 VWS - RIGHT FC - 09/24/2021 01:15 PM
EDT
Technique: Multiplanar multisequence noncontrast MR imaging of the RIGHT
shoulder performed.
Findings: Small amount of joint fluid. Marrow edema and probable minor concave
impaction fracture greater tuberosity. Osseous glenoid not well assessed.
Slightly diffuse heterogeneous marrow signal, nonspecific. Acromioclavicular
degenerative change with joint fluid. No shoulder dislocation. Inferior
intra-articular body 0.6 x 0.5 cm (coronal image 16/sagittal image 11/axial
image 21).
Supraspinatus: Split tear from insertion point spanning 2.2 cm. Few bursal
surface fibers intact. Estimated 80% fiber involvement. Minor muscle atrophy.
Infraspinatus: Thickening and increased intrasubstance signal from insertion
point spanning 1.5 cm. No retraction.
Teres minor: Intact.
Subscapularis: Partial intrasubstance tear or tendinosis from insertion point
spanning up to 2.5 cm.
Long head biceps: Serial bicipital groove. Bicipital labral complex not well
assessed.
Glenoid labrum: Probable labral tear. No complete detachment.
Impression:
1. Heterogeneous marrow signal, indeterminate. Edema and concavity greater
tuberosity, perhaps impaction injury. Correlate with history and
symptomatology.
2. Joint effusion, inferior intra-articular body and probable labral tear.
Osseous glenoid not well assessed.
3. Supraspinatus split tear. Infraspinatus and subscapularis tendinosis or
partial intrasubstance tear.
Thank you very much for any information you can provide. Surgery, yes/no?