Reason: H/o left shoulder lymphoma please restage History: prior mass and pain There is abnormal heterogeneous signal intensity within the glenoid and neck of the scapula compatible with the patient's known history of lymphoma with pathologic fracture. The fragmentation seen on the prior MRI study is not as evident indicating some interval healing. Signal abnormality extends along the lateral aspect of the body of the scapula also compatible with treated lymphoma. There is a focus of increased signal intensity again seen along the lateral body of the scapula, the enhancement of which appears less than on the prior study perhaps due to interval treatment. There is minimal edema along the body of the scapula which also appears decreased when compared to the prior study. There is edema within the infraspinatus and teres minor muscles which has also decreased when compared to the prior study. The small foci of enhancement seen within the muscle belly of the subscapularis on the prior study are no longer evident. There is residual posttraumatic deformity of the glenoid. There is slight posterior translation of the humeral head with respect to the glenoid. There is loss of cartilage along the surface of the glenoid as well as a small glenohumeral joint effusion and synovitis of the glenohumeral joint that is comparable to that seen on the prior study. . Mild osteoarthritis affects the acromioclavicular joint. Although this study was not optimally protocoled for detailed evaluation of the rotator cuff, we see no rotator cuff tear. There is a small amount of fluid and enhancement within the tendon sheath of long head of the biceps indicating a tenosynovitis. The reference enlarged axillary lymph node now measures approximately 2.7 x 1.5 x 2.5 cm which is decreased slightly when compared to the prior study.
1. Findings indicating treatment of scapular lymphoma with an overall favorable response and continued healing of a pathologic fracture.2. Synovitis of the glenohumeral joint appearing similar to the prior study.