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Please help with translating MRI on Right Shoulder in laymens terms


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Old 12-09-2014, 11:48 AM   #1
gnagamble
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Please help with translating MRI on Right Shoulder in laymens terms

Rotator cuff: There is evidence of severe rotator cuff tendinosis diffusely involving the supraspinatus tendon. There is articular-sided intermediate to high-grade partial-thickness tearing along the tendon undersurface of the supraspinatus tendon in a diffuse manner involving the 40-50% of the tendon thickness overlying cystic change in the humeral head. The changes are irregular in character. There is infraspinatus tendinosis of moderate degree with articular-sided fraying and low-grade partial-thickness tearing more posteriorly overlying cystic change in the humeral head. The subscapularis tendon reveals moderate tendinosis with articular-sided fraying and low-grade partial-thickness tearing superodistally.

Muscles: No muscle edema or atrophy.

Biceps: There is moderate proximal biceps tendinosis with interstitial partial-thickness tearing.

Subacromial/subdeltoid bursa: There is moderate subdeltoid bursitis.

Acromion/AC Joint: There is AC joint degenerative change of moderate to severe degree with cystic change and edema. There is subacromial spur formation and evidence of a type 1 acromion on the sagittal views.

Glenohumeral Joint/Labrum: the glenoid labrum is blunted and frayed, torn and detached along the anterior, anterosuperior and posterosuperior aspects. There is glenohumeral joint degenerative arthritis of moderate degree. There is chondral thinning and there is humeral head and neck marginal osteophyte formation.

Impression:
1. Severe rotator cuff tendinosis involving the supraspinatus tendon with intermediate to high-grade partial-thickness tearing in a diffuse manner along the undersurface of the supraspinatus tendon. There is infraspinatus tendinosis as described above with articular-sided fraying and low-grade partial-thickness tearing overlying cystic change in the humeral head. There is sibscapularis tendinosis with articular-sided low-grade partial-thickness tearing more evident superodistally as noted above. There is no full-thickness rotator cuff tear.
2. Moderate proximal biceps tendinosis with some interstitial partial-thickness tearing from the proximal aspect of the bicipital groove.
3. Moderate subdeltoid bursitis.
4. AC Joint degenerative change of moderate to severe degree with cystic change and edema, inferiorly-projecting spurs, subacromial spur formation, and evidence of a type 1 anterior acromion.
5. Blunting, fraying, and attenuation of the glenoid labrum involving the anterior, anterosuperior and posterosuperior aspects.
6. Moderate glenohumeral joint degenerative arthritis as described above.

 
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