need help. What does this mri of my shoulder mean
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i had a mri of my shoulder last week and i have no idea what any of it means? Can anyone interpret?
FINDINGS:
ACROMIAL OUTLET: There is widening of the acromioclavicular joint. There
are hypertrophic changes of the clavicle and the
acromion and there is narrowing of the subacromial
space. The anterior supraspinatus is slightly
compressed from the hypertrophic changes of the
distal clavicle. Additionally, there is a small displaced
corner fracture of the clavicle anteriorly, chronic.
There is a small amount of fluid in the
subacromial/subdeltoid bursa and there is slight
thickening of the coracoacromial ligament. There is
indistinctness of the coracoclavicular ligament and
capsule and mild synovitis.
ROTATOR CUFF:
Supraspinatus: There is slight indistinctness along the bursal surface
of the tendon in the critical zone with mild fraying and
intermediate intrasubstance signal primarily in the
myotendinous junction. No significant tear. There is
no fatty infiltration or atrophy.
Infraspinatus: Mild intrinsic signal abnormality with no significant tear.
Teres minor: Normal.
Subscapularis: No evidence of tendinosis. No partial or full-thickness
tear. No muscular atrophy.
LONG HEAD BICEPS TENDON: Normal in position and mild tendinosis in the rotator
interval. The biceps-labral complex is intact.
LABRUM AND CAPSULE: The labrum is normal with no labral tear or paralabral
cyst.
CARTILAGE: Normal.
BONES: There is periostitis of the distal clavicle and there are
mild marrow infiltrative changes present within the
distal clavicle.
SOFT TISSUES: There is slight thickening but intact coracoclavicular
ligament.
IMPRESSION:
1. Chronic manifestations of an AC joint separation with widening of the acromioclavicular
joint as well as a small chronic nonunited fracture of the anterior distal corner of the
clavicle. This is associated with capsular hypertrophy and synovitis and there are mildly
hypertrophic changes of the distal clavicle. The distal clavicle results in narrowing of the
subacromial space.
2. There is periostitis of the distal clavicle present which appears subacute but not chronic.
This could indicate periostitis reactive from an adjacent arthropathy or synovitis of the
acromioclavicular joint, interval trauma, or repetitive microtrauma.
3. There is narrowing of the subacromial space with slight flattening of the supraspinatus,
mild localized bursitis, and thickening of the coracoacromial ligament. Tendinosis of the
supraspinatus tendon is present with mild fraying but without significant tear. There is
also mild tendinosis of the infraspinatus tendon without significant tear.
4. Tendinosis of the long head biceps tendon present in the rotator interval. The bicepslabral
complex and glenoid labrum are intact.
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