Hill-Sachs lesion - chronic
Fall from bed, patient in cervical spine collar.
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No dislocation. Chronic Hill-Sachs deformity at the humeral head. There are corticated osteochondral fragments present at inferior axillary pouch. A cortical irregularity at the inferior glenoid margin is chronic.
Imaging patients on cervical spine precautions are not simple, a sound knowledge of different radiographic techniques is essential to produce diagnostic images in unfavorable scenarios. The inferior-superior axial projection is a viable option for the immobilized supine patient.