Lab Studies:
None
Other Studies:
Initial limited x-ray (AP, internal rotation, and lateral scapula views one week prior to visit): unremarkable.
<br>Bedside US: no rotator cuff or biceps tear, but there is a 1.7cm x 1.5cm x 0.8 cm heterogenous mass with a hyperechoic rim and heterogenous core. There are a few hyperechoic punctate calcifications at the medial aspect of the bicipital groove <a href="CaseStudyImages/CS1SheHADDShoulderPa-950.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . There is fluid within subcoracoid bursa and positive impingement of the bursa with dynamic maneuvers.
<br>MRI: intact rotator cuff and biceps tendon, benign mass at medial aspect bicipital groove suspicious for muscular tear <a href="CaseStudyImages/CS2SheHADDShoulderPa-950.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> .
<br>Repeat x-ray: subtle calcification over the lesser tuberosity <a href="CaseStudyImages/CS3SheHADDShoulderPa-950.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> , <a href="CaseStudyImages/CS4CS3SheHADDShoulde-950.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> .
Consultations:
None
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