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Calcific tendonitis - subscapularis

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Incidental finding in a patient with a right shoulder trauma.

Patient Data

Age: 40 years
Gender: Male

Low signal intratendinous lesion measuring about 5 x 15 mm along with subscapularis tendon due to calcified tendinitis.  

Abnormal intrasubstance increased fluid signal along with supraspinatus tendon mid to posterior fibers related to tendinosis.

Evidence of fracture along with distal clavicle next to AC joint with superior displacement of fracture fragment associated with subjacent bone marrow edema/bruise.

Type II acromion is seen.

Evidence of edema is present in deltoid and trapezius muscle fibers.

Case Discussion

Calcific deposit in the region of the subscapularis tendon is an incidental finding, in a patient with acute shoulder pain following trauma.

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