Examination: Ultrasound of the Shoulder

Date of Study: March 11, 2017

Patient Name: Juan Atkins

Registration Number: 8675309

History: Shoulder pain, evaluate for rotator cuff abnormality

Findings: No evidence of joint effusion. The biceps brachii long head tendon is normal without tendinosis, tear, tenosynovitis, or subluxation/dislocation. The supraspinatus, infraspinatus, subscapularis, and teres minor tendons are also normal. No subacromial-subdeltoid bursal abnormality and no sonographic evidence for subacromial impingement with dynamic maneuvers. The posterior labrum is unremarkable. Additional focused evaluation at site of maximal symptoms was unrevealing.

Impression: Unremarkable ultrasound examination of the shoulder. No rotator cuff abnormality.

Examination: Ultrasound of the Shoulder

Date of Study: March 11, 2017

Patient Name: Chazz Michael Michaels

Registration Number: 8675309

History: Shoulder pain, evaluate for rotator cuff abnormality

Findings: There is a focal anechoic tear of the anterior, distal aspect of the supraspinatus tendon measuring 1 cm short axis by 1.5 cm long axis. The anterior margin of the tear is adjacent to the rotator interval. There is no involvement of the subscapularis, infraspinatus, or rotator interval. A moderate amount of infraspinatus and supraspinatus fatty degeneration is present. There is a small joint effusion distending the biceps brachii tendon sheath and moderate distention of the subacromial-subdeltoid bursa. No biceps brachii long head tendon abnormality and no subluxation/dislocation. Mild osteoarthritis of the acromioclavicular joint. Additional focused evaluation at site of maximal symptoms was unrevealing.

Impression: Focal or incomplete full-thickness tear of the supraspinatus tendon with infraspinatus and supraspinatus muscle atrophy.

Examination: Ultrasound of the Elbow

Date of Study: March 11, 2011

Patient Name: Kevin Saunderson

Registration Number: 8675309

History: Elbow pain, evaluate for tendon abnormality

Findings: No evidence of joint effusion or synovial process. The biceps brachii and brachialis are normal. The common flexor and extensor tendons are also normal. No significant triceps brachii abnormality. The anterior bundle of the ulnar collateral ligament and lateral collateral ligament complex are normal. The ulnar nerve, radial nerve, and median nerve at the elbow are unremarkable. No abnormality in the cubital tunnel region with dynamic imaging. Additional focused evaluation at site of maximal symptoms was unrevealing.

Impression: Unremarkable ultrasound examination of the elbow.

Examination: Ultrasound of the Elbow

Date of Study: March 11, 2011

Patient Name: Ricky Bobby

Registration Number: 8675309

History: Elbow pain, evaluate for tendon abnormality

Findings: There is a partial-thickness tear of the distal biceps brachii tendon involving the superficial short head tendon with approximately 2 cm of retraction but with intact long head. Dynamic evaluation shows continuity of the long head excluding full-thickness tear. No joint effusion. The triceps brachii, common extensor, and common flexor tendons are normal. The ulnar, radial, and median nerves are unremarkable, including dynamic evaluation of the ulnar nerve. Unremarkable ulnar and lateral collateral ligaments. No bursal distention.

Impression: Partial-thickness tear of the distal biceps brachii tendon.

Examination: Ultrasound of the Wrist

Date of Study: March 11, 2011

Patient Name: Derrick May

Registration Number: 8675309

History: Numbness, evaluate for carpal tunnel syndrome

Findings: The median nerve is unremarkable in appearance, measuring 8 mm ² at the wrist crease and 7 mm ² at the pronator quadratus. No evidence of tenosynovitis. The radiocarpal, midcarpal, and distal radioulnar joints are normal without effusion or synovial hypertrophy. The wrist tendons are normal without tear or tenosynovitis. Normal dorsal component of the scapholunate ligament. No dorsal or volar ganglion cyst. Unremarkable Guyon canal. Additional focused evaluation at site of maximal symptoms was unrevealing.

Impression: Unremarkable ultrasound examination of the wrist.

Examination: Ultrasound of the Wrist

Date of Study: March 11, 2011

Patient Name: Jacobim Mugatu

Registration Number: 8675309

History: Numbness, evaluate for carpal tunnel syndrome

Findings: The median nerve is hypoechoic and enlarged, measuring 15 mm ² at the wrist crease and 7 mm ² at the pronator quadratus. No evidence for tenosynovitis. The radiocarpal, midcarpal, and distal radioulnar joints are normal without effusion or synovial hypertrophy. The wrist tendons are normal without tear or tenosynovitis. Normal dorsal component of the scapholunate ligament. No dorsal ganglion cyst. A 7-mm volar ganglion cyst is noted between the radial artery and flexor carpi radialis tendon. Unremarkable Guyon canal. Additional focused evaluation at site of maximal symptoms was unrevealing.

Impression:

• 1.
  

  Ultrasound findings compatible with carpal tunnel syndrome.

  
  
• 2.
  

  A 7-mm volar ganglion cyst.