Sample Type / Medical Specialty: Orthopedic
Sample Name: MRI Shoulder - 3
Description: A 32-year-old male with shoulder pain.
(Medical Transcription Sample Report)
EXAM:MRI RIGHT SHOULDER
CLINICAL: A 32-year-old male with shoulder pain.
This is a second opinion interpretation of the examination performed on 02/16/06.
Normal supraspinatus tendon without surface fraying, gap or fiber retraction and there is no muscular atrophy.
Normal long biceps tendon within the bicipital groove. There is no subluxation of the tendon under the transverse humeral ligament and the intracapsular portion of the tendon is normal.
Normal humeral head without fracture or subluxation.
There is myxoid degeneration within the superior labrum (oblique coronal images #47-48), but there is no discrete tear. The remaining portions of the labrum are normal without osseous Bankart lesion.
Normal superior, middle and inferior glenohumeral ligaments.
Normal coracoacromial, coracohumeral and coracoclavicular ligaments.
There are no effusions or masses.
Changes in the superior labrum compatible with degeneration without a discrete surfacing tear.
There is no evidence of a rotator cuff tear.
Keywords: orthopedic, impinging lesion, os acromiale, shoulder, tendon, acromiale, osseous,