Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
I have had major shoulder pain for the past 7 years due to an injury I sustained in Iraq. I have had 3 different doctors at the VA tell me 3 different things, and I am just looking for some input
Report: Left shoulder Fat-suppressed proton density axial sequences were obtained followed by T1-weighted, T2-weighted, and fat-suppressed proton density coronal sequences. T1-weighted and fat-suppressed proton GAUSE, WESLEY JOHN CONFIDENTIAL Page 6 of 7 density sagittal sequences were performed. There is mild to moderate arthritic change of the acromioclavicular joint with some hypertrophic change which extends inferiorly and the acromion is slightly downsloping anteriorly which could contribute to impingement. Mild heterogeneous PD signal is observed in the distal supraspinatus tendon consistent with tendinopathy with a possible partial undersurface tear near the insertion. No full-thickness tear is seen. There is slight irregularity of the anterior labrum but no well-defined tear is identified. The bicipital tendon is normally located. There is mild thickening of the distal subscapularis tendon with slight hyperintensity consistent with mild tendinopathy. The marrow patterns of the humerus appear within normal limits except for small subcortical cystic changes near the infraspinatus tendon insertion. Impression: Mild to moderate arthritic change and hypertrophy of the acromioclavicular joint with slightly downsloping acromion and possible impingement Supraspinatus tendinopathy and possible undersurface partial tear near the insertion. No full-thickness tear is seen. No labral tear is visualized. Mild distal subscapularis tendinopathy Other findings as noted. Primary Diagnostic Code: ABNORMAL
Sun, 22 Nov 2015
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