Pain involving the right upper arm A marker is placed in the right axilla. Osseous alignment of the glenohumeral joint is within normal limits. There are bilateral high riding humeri suggestive of chronic rotator cuff tear. Degenerative cyst formation noted in the humeral head. Otherwise no definite bone marrow signal abnormality of the shoulder suggestive of a metastasis on this limited noncontrast study. Given the large field of view on the evaluation of labrum, articular cartilage, tendons are limited on this study. There is moderate degenerative change of the AC joint.Limited view of the thoracic spine with degenerative change and endplate signal abnormality. Limited view of the lower cervical spine with degenerative change and mild to moderate spinal canal narrowing.There is questionable nodularity in the mid-aspect of the right lung, which may be artifactual. Additionally, there is a moderate hiatal hernia and esophageal ectasia.
1.No definite evidence of soft tissue or bone lesion on this limited noncontrast study. If there is high clinical suspicion contrast-enhanced MRI with defined field of view can be performed. 2.Questionable nodularity in the mid-aspect of the right lung may be artifactual and is not well evaluated on this examination. A CT chest can be considered for further evaluation.