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Calcific tendinitis of the supraspinatus tendon

Case contributed by Bálint Botz
Diagnosis almost certain

Presentation

Shoulder pain and instability, prior trauma. ?Hill-Sachs lesion.

Patient Data

Age: 65 years
Gender: Female

Elongated, about 40 mm long homogenous calcific density noted in the supraspinatus tendon. Note an ~10 mm long posterolateral cortical irregularity of the humeral head in line with prior Hill-Sachs injury. Moderate degenerative changes in depicted joints. 

Case Discussion

Striking case of calcific tendinitis of the supraspinatus tendon. CT was the first imaging requested, which is not typical and is a suboptimal choice in terms of imaging utilization. 

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