Presentation
No history of trauma. Right shoulder pain worsened by exertion.
Patient Data
Age: 25 years
Gender: Female
From the case:
Buford complex












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- Moderate fluid buildup in the subscapular recess (best seen on PD weighted sequences), which is not necessarily pathological.
- Absent anterosuperior labrum in the 12-3 o'clock position, with resultant thickening of the middle glenohumeral ligament, best appreciated on the axial PD FS sequence (see key image).
- Axillary lymph nodes showing reactive morphology.
From the case:
Buford complex


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- Saggital PD FS: key image demonstrating fluid buildup in the subscapular recess.
- Axial PD FS: short arrow demonstrating absence of anterosuperior labrum, long arrow indicating the thickened MGHL.
Case Discussion
The incidentally demonstrated anatomical labral variation represents the Buford complex.