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Altaire Case Studies

High Resolution Case Study of the Shoulder

3/1/2003

Procedure:

T2-weighted SARGE axials, T2-weighted Driven Equilibrium Fast Spin Echo sagittals and coronals, Proton Density-weighted Spin Echo coronals with FatSat, and T1-weighted Spin Echo Coronals. This shoulder exam was acquired in just over 18 minutes.

Patient History:

39 year old male with right shoulder pain and limited range of motion.

Findings:

There is some increased signal in the AC joint involving the clavicle and acromion consistent with degenerative change. There is impingement of the acromion on the musculotendinous junction of the spinatus and some minimal associated fluid in the subacromial subdeltoid bursa. There is enlargement of the anterior portion of the supraspinatus tendon with mildly increased signal seen on fat suppressed images. This is consistent with tendinosis or partial tear. No full thickness tear is present. Biceps tendon is identified and in normal position. There is no Hill-Sachs deformity. The glenoid labrum appears to be intact. Signal intensity in the visualized bony structures is unremarkable.

Impression:

Impingement via the acromion on the musculotendinous junction of the supraspinatus. Increased signal and mildly enlarged anterior portion of the supraspinatus tendon suggesting tendinosis or a partial tear.

Mild degenerative change in the AC joint.

No full thickness tear identified.

T2 DE-FSE COR

T2 DE-FSE SAG

PD FSE COR SHOULDER WITH FATSAT

T1 SE COR SHOULDER

T2 SG TRS SHOULDER