Can you please advise me as to what these test results mean? Clinical History: Status post motor vehicle collision 2/26/2013complaining of persistent left shoulder pain. Evaluate for labraltear. Technique: Following uneventful interarticular administration ofcontrast, T1 fat-saturated, T2 fat-saturated images of the leftshoulder was performed in the coronal plane. T1 fat-saturated imagesof the left shoulder was performed in the axial plane. Sagittal protondensity of left shoulder was also performed. Sagittal T1 fat-saturatedimages performed while the patient was in the ABER position. Findings: Glenohumeral joint is well distended with contrast. The long head biceps tendon is intact and attaches normally on thesuperior labrum. The labrum is intact. The supraspinatus, infraspinatus, subscapularis and teres minortendons are intact. There appears to be two tendon slips of thesupraspinatus, the smaller of which appears slightly intermediate insignal intensity reflecting tendinosis. There is no sign of tear. The muscle volume and signal intensity of the rotator cuff ismaintained. There is a minimal amount of native fluid within thesubacromial/subdeltoid bursa which extends into the lateral deltoidshelf. The acromioclavicular joint is maintained. There is an os acromialewhich demonstrates mild increased T2 signal reflecting edema at thesynchondrosis. There is no Hill-Sachs deformity. The bone marrow signal is otherwiseunremarkable. Impression: 1. Supraspinatus tendinosis. No rotator cuff tear. 2. Os acromiale with mild edema at the synchondrosis; if painful, thismay represent os acromiale syndrome. 3. Minimal fluid within the subacromial subdeltoid bursa which extendsinto the lateral deltoid shelf.
The report describes inflammation of the tendon of supraspinatus muscle and mild inflammation at the upper end on the shoulder blade with a small extra bone present near the region.
Hope the information is helpful.
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