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There is a proximal migration of humeral head with a reduction in acromion-humeral distance. There is subchondral sclerosis involving adjacent surfaces of humeral head and acromian process of the scapula. The glenohumeral joint shows joint space reduction, subchondral sclerosis, marginal osteophyte. There is a soft tissue swelling abutting cranial aspect of the left acromioclavicular joint. There is no fracture /dislocation / bony lesion.