Indication: left shoulder pain.
Technique: axial, coronal and Sagittal oblique left shoulder t1w, t2wfs, PDFs.
Comparison: none.
Findings:
Normal alignment of the left shoulder is found. No dislocation or subluxation is noted.
Normal fatty marrow conversion is seen. No abnormal bone destruction or marrow replacement lesion is found.
Supraspinatus tendon and muscles are intact.
Infraspinatus, teres minor and subscapularis tendons are intact.
Longhead biceps tendon,biciptal groove are unremarkable.
Coracoacromial ligament is intact. The visualized GH ligaments are unremarkable.
AC joint is unremarkable. AH distance is about 6 mm.
Type II acromion arch is noted with mild lateral down sloping (about 20 degree).
Minimal sub acromion-sub deltoid and subcoracoid effusions are observed. Mild thickening of the axillary recess capsule is noted.
No significant muscular atrophy is observed. Glenoid labrum show no gross abnormality.No glenohumeral joint effusion is noted.
Impression:
-Type II acromion arch with mild lateral downs sloping and decreased acromiohumeral distance; could relate cuff impingement,please clinically correlate.
- Mild thickening of the axillary recess capsule, suspicious of adhesive capsulitis. Additional post Gd study could be helpful for evaluation.
- Minimal sub acromion-sub deltoid and subcoracoid; DDx. Minimal bursitis.