64 year old male with right elbow pain. TENDONS: There is thickening and heterogeneity of the common extensor tendon indicating moderate to severe tendinopathy. There are foci of near fat signal intensity within the tendon corresponding to ossicles seen on outside hospital radiographs. There is a band of high signal intensity which separates the tendon and ossicles from the underlying lateral humeral condyle compatible with partial thickness tearing. There are tiny enthesophytes at the origin of the common flexor tendon, better seen on recent radiographs, but the tendon itself is unremarkable. The biceps, brachialis, and triceps tendons appear intact.LIGAMENTS: The ulnar collateral ligament appears intact. The radial collateral ligament proper is difficult to separate from the thickened common extensor tendon. What we believe to be the ligament appears separated from the humerus by high signal intensity, suggestive of a tear at its humeral attachment. The lateral ulnar collateral ligament appears intact.ARTICULAR SURFACES AND BONE: There are small foci of signal abnormality within the lateral epicondyle and the more proximal of the 2 intratendinous ossicles which are likely degenerative in etiology. There is subjective thinning of the articular cartilage of the radiocapitellar articulation, representing mild to moderate degeneration. The articular cartilage of the ulnohumeral articulation appears relatively intact.ADDITIONAL
Tendinosis and partial-thickness tearing of the common extensor tendon and possible tear of the radial collateral ligament proper of the right elbow.