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MRI of shoulder demonstrates gross bony destruction, and bony defects mimicking Hill-Sach's and Bankart's lesions were noted. In isolation, possibility of recurrent dislocation with septic arthritis was also considered. However, patient did not give any history of shoulder dislocation. Such a massive destruction strongly pointed towards neuropathic joint. And thus, MRI spine was done as additional study to rule out syringomyelia.