MRI Right Shoulder Report Sample:

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PATIENT NAME:  David Jones DOB:
DATE OF STUDY:   01/01/11 FILE#:
REFERRING PHYSICIAN:   Harry Richard, M.D.  

NONCONTRAST MRI OF THE RIGHT SHOULDER:

CLINICAL INDICATION: Impingement.
TECHNIQUE: Use the standard noncontrast technique.


FINDINGS:  
The infraspinatus and teres minor tendons are intact.   There is mild tendinosis of the supraspinatus tendon without tear.  The subscapularis tendon is intact.  The long head of the biceps tendon is in anatomic location and the biceps anchor is maintained. 

There is moderate degenerative arthrosis of the AC joint and slight thickening of the coracoacromial ligament.  These may contribute to clinical impingement.  There is no joint effusion or disproportionate muscle atrophy.


IMPRESSION:

1. Mild tendinosis of the supraspinatus tendon without tear.

2. Moderate DJD of the AC joint with slight thickening or the coracoacromial ligament.  These may contribute to clinical impingement.  

Thank you for your referral,