49-year-old male weightlifter experiencing instability
Decreased range of motion for one year aggravated by weight lifting.
Long- and short-axis fat- and water-weighted images were performed.
- Rotator cuff:
- Intact. No tear identified.
- AC joint:
- Hypertrophic with little active inflammation. Small erosions and superior spurs of moderate size consistent with the AC joint of a weight lifter.
- Anteroinferior chronic nondislocation-type labral tear with intra- and paralabral miniscule pseudocyst formation.
- Superior labrum intact.
- Some inferior and inferoposterior extension with small paralabral pseudocysts in the posteroinferior quadrant.
- Glenoid class 3 chondromalacia without penetration into the subchondral plate.
- Muscle size:
- Normal. No fatty infiltration.
- Soft tissue masses:
- Inflamed with effusion 1 plus.
- Biceps and labral anchor complex:
- Entrapment neuropathy and axillary space:
Labral tear anteromid/inferior and inferoposterior with small multifocal paralabral pseudocysts having the configuration of an upside down SLAP lesion but nondislocation type of labral tear most likely related to chronic repetitive activity.
Try MRI Online Premium for free.
100+Mastery Series video courses
500+Expert case reviews
UnlimitedCME & SA-CME credits
Learn from world renowned radiologists anytime,
actice on real, high-yield cases with MRI Online Premium.