Reason: pain History: pain Right shoulder:Lucent lesion with internal calcifications within the proximal humeral metaphysis may represent an enchondroma however, if pain localizes to this location than MRI could be considered. Mild osteoarthritis first glenohumeral and acromioclavicular joints. No acute fracture is evident.Right knee:Mild osteoarthritis affects the right knee. No acute fracture or malalignment. No joint effusion is evident.Left knee:Mild osteoarthritis affects the left knee. No acute fracture or malalignment. No large joint effusion is evident.Left great toe:Minimal osteoarthritis affects the first MTP joint. No acute fracture or malalignment.
Osteoarthritis of the knees, left great toe, and right shoulder. Lucent lesion in the proximal humeral metaphysis may represent an enchondroma, however, if pain localizes to this location, MRI could be considered for further evaluation. 