Shoulder MRI Fellowship Practice Cases

<div class="entry-content">
		<div id="tve_flt" class="tve_flt tcb-style-wrap"><div id="tve_editor" class="tve_shortcode_editor tar-main-content"><div class="thrv_wrapper thrv_text_element">This course includes the 25 essential cases a radiologist needs to master to confidently&#160;diagnose shoulder conditions on MRI.<a href="https://mrionline.com/remote-fellowships/" class="">Browse all Radiology Remote Fellowships</a><h2 class="" dir="ltr">Desired Outcomes</h2>Upon completion of this activity, participants should be better able to:<ul class=""><li dir="ltr">Interpret essential pathologies for shoulder MRI</li><li dir="ltr">Diagnose shoulder conditions for MRI</li></ul>Bibliography: Suggested reading resources and references can be found within each case discussion.<h1 class="">Credit Information</h1><h3 class="" dir="ltr">Accreditation Statement</h3>MRI Online is accredited by the Accreditation Council for Continuing Medical Education (ACCME)to provide continuing medical education for physicians.<h3 class="">Credit Designation Statement</h3>MRI Online designates this Enduring activity for a maximum of 15&#160;AMA PRA Category 1 Credits&#8482;.&#160;Physicians should claim only the credit commensurate with the extent of their participation in the activity.This activity is valid for credit from November 6, 2023 to November 6, 2026.Content is reviewed and updated on an ongoing basis.CME Planning Committee&#160;Suresh K. Mukherji, MD, MBA, FACRProfessor of Radiology, University of IllinoisProfessor of Radiation Oncology, Robert Wood Johnson Medical School, Rutgers UniversityFaculty, Otolaryngology Head Neck Surgery, Michigan State UniversityNational Director of Head &amp; Neck RadiologyProScan ImagingStephen J. Pomeranz, MDChief Medical Officer and FounderProScan ImagingFounderMRI OnlineDavid M. Yousem, MBA, MDProfessor of RadiologyVice Chairman and Associate DeanJohns Hopkins UniversityDaniel Arnold, MBACEO and Co-FounderMRI OnlinePaul BohartSenior Content ManagerMRI OnlineJennifer A. Hall, MSDirector, FellowshipsMRI OnlineDeanna M. Heier, PhDVP, Educational Strategy and OperationsMRI Online<h1 class="">Disclosure Statements</h1>CME Planning CommitteeThe CME Planning Committee members have no relevant financial relationships to disclose.FacultyThe Faculty for this activity have no relevant financial relationships to disclose.Staff and Content reviewersAll MRI Online staff involved in the development of content for this activity have norelevant financial relationships to disclose.Commercial SupportThere is no commercial support for this activity.Course content is peer-reviewed for content validity by persons that do not have conflicts of interest related to the content and to verify the educational material is evidence-based, fair, balanced, and free from commercial bias.</div></div></div><div class="tcb_flag"></div>
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Shoulder

Stephen J Pomeranz

Jenny T Bencardino

Edward Smitaman

Gain confidence reading and reporting on Shoulder MRI Cases with the Medality Fellowship Certificate Program. Practice using real-world, scrollable cases, earn CME, and receive a Fellowship Certificate™ upon completion!

Case Review

Musculoskeletal (MSK)

Wk 1, Case 1 - Practice

Wk 1, Case 1 - Review

Wk 1, Case 2 - Practice

Wk 1, Case 2 - Review

Wk 1, Case 3 - Practice

Wk 1, Case 3 - Review

Wk 1, Case 4 - Practice

Wk 1, Case 4 - Review

Wk 1, Case 5 - Practice

Wk 1, Case 5 - Review

Practice Cases

Wk 2, Case 1 - Practice

Wk 2, Case 1 - Review

Wk 2, Case 2 - Practice

Wk 2, Case 2 - Review

Wk 2, Case 3 - Practice

Wk 2, Case 3 - Review

Wk 2, Case 4 - Practice

Wk 2, Case 4 - Review

Wk 2, Case 5 - Practice

Wk 2, Case 5 - Review

Wk 3, Case 1 - Practice

Wk 3, Case 1 - Review

Wk 3, Case 2 - Practice

Wk 3, Case 2 - Review

Wk 3, Case 3 - Practice

Wk 3, Case 3 - Review

Wk 3, Case 4 - Practice

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Wk 3, Case 5 - Practice

Wk 3, Case 5 - Review

Wk 4, Case 1 - Practice

Wk 4, Case 1 - Review

Wk 4, Case 2 - Practice

Wk 4, Case 2 - Review

Wk 4, Case 3 - Practice

Wk 4, Case 3 - Review

Wk 4, Case 4 - Practice

Wk 4, Case 4 - Review

Wk 4, Case 5 - Practice

Wk 4, Case 5 - Review

Wk 5, Case 1 - Practice

Wk 5, Case 1 - Review

Wk 5, Case 2 - Practice

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Wk 5, Case 3 - Practice

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Course Evaluation

Post-Course Activities

Welcome to the Shoulder MRI Fellowship Practice Cases course! In this course, you&rsquo;ll be presented with a series of worklists, comprised of 25 essential cases you must review to receive your Fellowship Certificate.

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Access Full Fellowship Certificate Program at Anytime <a href="https://mrionline.com/proficiency/shoulder-mri-fellowship-certificate/" style="text-decoration:none">Here</a>&nbsp;

Shoulder MRI Practice Cases

Patient History
18-year-old with myofascial pain.

Findings
ROTATOR CUFF: Normal.

SUBACROMIAL/SUBDELTOID BURSA: Normal.

MUSCLES (ROTATOR CUFF/DELTOID, TRAPEZIUS, PECTORALIS): Large oval soft tissue mass involves primarily the supraspinatus and to a lesser extent the infraspinatus and subscapularis. The mass demonstrates marked heterogeneity and on some slices resembles a “bowl of fruit.” Blood products are noted. Infiltration of the adjacent skeleton.

BICEPS TENDON: Normal.

AC JOINT: Normal.

CORACOCLAVICULAR LIGAMENTS: Normal.

SUBACROMIAL ARCH/OUTLET: Normal.

SUBCORACOID ARCH: Normal.

GLENOHUMERAL JOINT: Normal.

GLENOID LABRUM: Normal.

BONES: Abnormal with diffuse infiltration of the scapula with evidence of bone destruction and cortical disruption. Findings compatible with an aggressive neoplastic process.

SUBCUTANEOUS SOFT TISSUES: Diffuse swelling.

AXILLA: Abnormal adenopathy increased in number but not necessarily size.

Impressions
Large soft tissue mass involving a flat bone or the scapula measuring 7.7 cm mediolateral, 4.86 cm craniocaudal, and 4 cm anteroposterior. Given the presence of bone destruction, lesion size, lesion hemorrhage, and heterogeneity in a child, favor the diagnosis of Ewing sarcoma.

Case

Langrehans cell histiocytosis/Eosinophilic granuloma