Shoulder MRI 17M Pitcher Clinical suspicion of Physitis, Opinion Please

[image: Pitcher suspect physitis 17M.jpg]
There is marrow edema along the posterior humeral head, but it is not
centered along the physis, which is starting to fuse.
Note that there is adaptive remodeling of the posterosuperior glenoid rim
and there is subtle increased signal undercutting the base of the
posterosuperior labrum
[image: Pitcher suspect physitis 17M (1).jpg]
He has not dislocated, yet this looks like a Hill Sachs. The anterior
glenoid rim and anteroinferior labrum / capsule are normal.
[image: Pitcher suspect physitis 17M (2).jpg]
[image: Pitcher suspect physitis 17M (3).jpg]
Is this Posterosuperior Glenohumeral Impingement?
Can that produce Hill-Sachs-ish type of lesion?

What do you think?

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