MRI direct arthrogram
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20 ml of gadolinium contrast solution was administered directly inside the left shoulder joint under fluoroscopic guidance.
Optimal distension of the joint capsule is achieved.
A complete tear of the long head biceps brachii tendon is evident at the level of its intraarticular segment, with a consequent retraction of the distal part and a 3-centimeter-long gap formed.
Irregularity of the coracohumeral ligament is evident that is consistent with partial thickness tear.
High T2W signal intensity inside the distal supraspinatus tendon is noted, with no evidence of a tear, in keeping with tendiopathy. Moderate arthrosis of the AC joint is seen with a caudal osteophyte compressing supraspinatus myotendinous junction in keeping with secondary subacromial impingement.
A small effusion in the subdeltoid bursa is noted that does not communicate with the joint space.