MRI RT. SHOULDER
History: A 29 year-old man; history of right shoulder pain and limit ROM ; sent for evaluation.
Techniques: Axial: T1, T2FS, PDFS, 3DFRE / Coronal oblique: T1, PDFS / Sagittal oblique: T1, PDFS with gadolinium administration
Findings: The study reveals markedly thickening and irregular of fat in the rotator interval.
Moderate amount of fluid is detected in the axillary pouch. Incomplete partial thickness tear of posterior bands of the inferior glenohumeral ligament (IGHL) is noted.
After gadolinium administration, intense enhancement of thickening synovium at axillary pouch is noted. HAGL lesion is likely. Involvement of the quadrilateral space is likely.
Rotator cuffs
Supraspinatus (SS): no atrophic changed of muscle
- Incomplete, partial thickness tear at 3.4 cm from footprint; the SS muscle is markedly increase signal intensity
Infraspinatus (IS): no atrophic changed of IS muscle; intact of tendon; no definite tear
Subscapularis (SSc): increase signal intensity of muscle; no definite tear at footprint
Teres minor: intact muscle and tendon; no definite tear or tendinosis
Enhancement of Rotator cuffs is also noted after gadolinium administration.
No Hill-Sachs or bony Bankart is seen. The articular surface of humeral head is congruence. No definite fracture or avascular necrosis is detected. The glenoid labrum is within normal limit.
Biceps tendon has normal appearance and signal intensity.
Acromion is of type 3. The AC joint is within normal limit.
The marrow signal is intact. No definite fracture or dislocation is detected.
No definite fracture or dislocation is detected. The deltoid muscle is normal.
Impression: findings are likely adhesive capsulitis and possible involvement of the quadrilateral space
- SS: incomplete partial tear of muscle and myotendinous junction
- HAGL lesion is likely; incomplete partial tear of posterior bands of IGHL
However, please correlate with clinical
ไปหาหมอด้วยอาการ ยกแขนไม่ขึ้น ยกได้ 90 องศา ไม่ทราบสาเหตุ ไม่มีอุบัติเหตุ หมอส่ง MRI
รบกวนช่วยแปลผล MRI ให้หน่อยครับ
History: A 29 year-old man; history of right shoulder pain and limit ROM ; sent for evaluation.
Techniques: Axial: T1, T2FS, PDFS, 3DFRE / Coronal oblique: T1, PDFS / Sagittal oblique: T1, PDFS with gadolinium administration
Findings: The study reveals markedly thickening and irregular of fat in the rotator interval.
Moderate amount of fluid is detected in the axillary pouch. Incomplete partial thickness tear of posterior bands of the inferior glenohumeral ligament (IGHL) is noted.
After gadolinium administration, intense enhancement of thickening synovium at axillary pouch is noted. HAGL lesion is likely. Involvement of the quadrilateral space is likely.
Rotator cuffs
Supraspinatus (SS): no atrophic changed of muscle
- Incomplete, partial thickness tear at 3.4 cm from footprint; the SS muscle is markedly increase signal intensity
Infraspinatus (IS): no atrophic changed of IS muscle; intact of tendon; no definite tear
Subscapularis (SSc): increase signal intensity of muscle; no definite tear at footprint
Teres minor: intact muscle and tendon; no definite tear or tendinosis
Enhancement of Rotator cuffs is also noted after gadolinium administration.
No Hill-Sachs or bony Bankart is seen. The articular surface of humeral head is congruence. No definite fracture or avascular necrosis is detected. The glenoid labrum is within normal limit.
Biceps tendon has normal appearance and signal intensity.
Acromion is of type 3. The AC joint is within normal limit.
The marrow signal is intact. No definite fracture or dislocation is detected.
No definite fracture or dislocation is detected. The deltoid muscle is normal.
Impression: findings are likely adhesive capsulitis and possible involvement of the quadrilateral space
- SS: incomplete partial tear of muscle and myotendinous junction
- HAGL lesion is likely; incomplete partial tear of posterior bands of IGHL
However, please correlate with clinical
ไปหาหมอด้วยอาการ ยกแขนไม่ขึ้น ยกได้ 90 องศา ไม่ทราบสาเหตุ ไม่มีอุบัติเหตุ หมอส่ง MRI