Reason: Please assess suprascapular soft tissue mass overlying the supraspinatus. ? Lipoma? History: Soft tissue mass over R shoulder, overlies the supra/infraspinatus 2 skin markers are placed along the superior aspect of the shoulder presumably representing the location of the patient's palpable mass. There is slight prominence of the subcutaneous fat along the superior aspect of the shoulder between the 2 skin markers. The signal of the mass suppresses on fat-suppressed images compatible with a lipoma. There is minimal, if any, mass effect on the underlying trapezius muscle. There is no infiltration of the underlying muscle. We see no additional masses. Although this examination was not protocoled for detailed evaluation of the rotator cuff, there are tiny foci of high signal intensity within the supraspinatus, infraspinatus, and subscapularis tendons, at their insertion, which may represent tiny insertional tears, but we see no full-thickness tear. The imaged musculature of the right shoulder is normal in appearance. Mild to moderate osteoarthritis affects the acromioclavicular joint. There is minimal enhancement of the subdeltoid bursa which may represent minimal inflammation of questionable clinical significance. Within the limitations of a non arthrogram examination, the glenoid labrum appears intact. The tendon of the long head of the biceps appears intact within the limitations of a non arthrogram study. The bone marrow signal intensity is within normal limits.
Subcutaneous lipoma and other findings as described above.