Nonspecific left arm pain which according to the ordering team seems to be distinct from the joint. Note that the examination is limited by motion artifact as well as the lack of intravenous contrast secondary to patient refusal. Also note that the exam was not tailored for the evaluation of the shoulder or elbow.The marrow signal intensity of the humerus is normal aside from small degenerative cysts within the humeral head.There is mild nonspecific soft tissue edema along the rotator cuff musculature which could reflect a strain injury or mild inflammation. A small amount of fluid is noted within the glenohumeral joint but there is no large effusion. Edema also extends more distally between the short and long heads of the biceps to the level of the proximal humeral diaphysis. Distal to this area, this signal intensity of the musculature is normal.There is osteoarthritis of the elbow (as seen on prior CT) with a moderate joint effusion. A small lipoma is noted within the triceps musculature.
1. Limited exam secondary to motion and the lack of administered contrast secondary to patient refusal.2. Edema along the rotator cuff musculature which extends into proximal third of the biceps and upper arm. These findings are nonspecific but could reflect a strain injury or mild inflammation. If further evaluation of the rotator cuff is desired, MRI can be obtained.3. Osteoarthritis of the elbow with moderate-sized joint effusion.