MRI REPORT: RIGHT SHOULDER
Imaging Technique:
Coronal T1, T2 SE, and fat-saturated PD sequences, axial fat-saturated PD sequences, and sagittal T1-weighted sequences were acquired.
Quality of Study:
The study is suboptimal due to motion artifacts, which may limit the detailed assessment of certain structures.
OBSERVATIONS:
1. Glenohumeral Joint Degenerative Changes:
- Evidence of osteoarthritic changes in the glenohumeral joint characterized by:
- Subchondral sclerosis.
- Joint space narrowing.
- Marginal osteophyte formation along the articular surface of the humerus.
- Mild posterosuperior subluxation of the humeral head.
2. Acromioclavicular Joint Degenerative Changes:
- Osteoarthritic changes observed in the acromioclavicular joint include:
- Marginal osteophyte formation.
- Reduced joint space.
- Capsular hypertrophy.
- Acromion is Type I in configuration with a normal transverse orientation.
3. Rotator Cuff Pathology:
- Complete retracted tear of the supraspinatus tendon at its humeral insertion site.
- Tendon fibers are retracted up to the level of the acromion process of the scapula.
- A gap of approximately 1.48 cm filled with fluid signal intensity.
- The retracted tendon fibers appear bulky and edematous with intrasubstance hyperintense signal changes.
- Focal hyperintense marrow signal intensity is noted in the greater tuberosity of the humerus, suggesting possible bone marrow edema or stress-related changes.
- The rest of the rotator cuff muscles and tendons do not show any obvious abnormality.
4. Joint Effusion and Bursitis:
- Mild glenohumeral joint effusion is observed, distending the inferior glenohumeral recess.
- Significant fluid accumulation in the subacromial-subdeltoid bursa, suggesting bursitis.
5. Labral Abnormalities:
- Irregularity in the anterosuperior labrum with T2 hyperintense fluid signal changes, suggestive of a possible labral tear or degeneration.
- Mild fluid tracking into the axillary pouch, which may indicate associated capsular involvement.
6. Neurovascular Structures:
- No significant abnormality detected in the visualized neurovascular bundle.
IMPRESSION:
- Complete retracted tear of the supraspinatus tendon with tendon fibers retracted up to the level of the acromion. Fluid-filled gap of approximately 1.48 cm.
- Mild glenohumeral joint effusion with significant subacromial-subdeltoid bursitis.
- Osteoarthritic changes in the glenohumeral and acromioclavicular joints, with mild posterosuperior subluxation of the humeral head.
- Possible anterosuperior labral irregularity, which may represent a labral tear or degeneration.
RECOMMENDATIONS:
- Clinical correlation with pain severity, range of motion limitations, and functional impairment.
- Further imaging (e.g., MR arthrogram) may be considered if labral pathology requires further clarification.
Conclusion:
The MRI findings indicate significant degenerative and structural abnormalities in the right shoulder, with a complete retracted supraspinatus tendon tear, osteoarthritis of the glenohumeral and acromioclavicular joints, and associated bursitis and joint effusion. These findings should be interpreted in the context of clinical symptoms and further management decisions should be made accordingly.
~Axrix Teleradiology
note: this report based on scan
