Case of the Month: October, 2011

Submitted by Jason Merchant, MD and Joseph Giaconi, MD.

Initial Presentation

  • 62 year old gentleman with acute onset of severe left shoulder pain for three days
  • No history of trauma or inciting event
  • No significant past medical history

Shown below are select MRI images of the left shoulder: 

Coronal Proton Density
  
Coronal T2 Fat Sat
 
Sagittal T1
 
Sagittal T2 Fat Sat

 

Question 1: 

Where is the abnormality?

  1. Subscapularis tendon
  2. Supraspinatus tendon
  3. Infraspinatus tendon
  4. Teres minor tendon
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