mri report does it require surgey
TECHNIQUE: Routine shoulder protocol.
FINDINGS: Signal abnormality within the intraarticular biceps tendon is compatible with tendinopathy.
Subscapularis, teres minor intact. Mild signal abnormality in the supraspinatus and infraspinatus tendons are
compatible with mild to moderate tendinopathy or contusion in this clinical setting. No full thickness rotator
cuff tear, retraction, or muscle atrophy. Extensive marrow edema involving the posterior/superior humeral head
most compatible with an impaction injury (Hill-Sachs deformity) with minimal 1-2 mm cortical depression seen
best on axial image 8 of series 100 and sagittal image 6 of series 101. Evaluation of the labrum shows abnormal
signal and morphology involving the anterior/inferior labrum compatible with acute labral tear as well as
disruption/injury to the anterior limb of the inferior glenohumeral ligament. No displaced bony Bankart lesion is
seen. The posterior labrum is intact There is, however, also abnormal signal in the superior labrum just
posterior to the biceps anchor on coronal image I 1, series 1lO4, worrisome fortiny labral tear here, as well. AC
joint shows no significant synovial proliferation; there is slight downward sloping of the lateral acromion which
can predispose to impingement : I
1.Findings most compatible with recent shoulder dislocation with Hill-Sachs deformity and contusion of the
supraspinatus and infraspinatus at the conjoined tendon, as well as an acute tear of the anterior/inferior labrum
with no displaced bony Bankart lesion associated. There is, however, also abnormal signal and morphology of
the anterior limb oftheinferior glenohumeral ligament compatible with capsular injury.
2.Question tiny tear of the superior labrum, as well, just posterior to the biceps anchor.
3.Intraarticular biceps tendinopathy.
4.Mild downward sloping of the lateral acromion, which can predispose to impingement.
5.Trace fluid in the subacromial/subdeltoid bursa-.,.'