Shoulder MRI 36 y/o injury 1 month ago.

Increasing pain and weakness. R/O rotator cuff tear.

Edema in the supraspinatus and infraspinatus with a touch of fatty atrophy
especially of the infraspinatus. No tendon tear although arguably there
could be a focal insertional strain. Other muscles look normal. What do
the findings make you think of?

A. Infection
B. Sarcoma
C. Acute/subacute denervation
D. Acute alcohol intoxication while wearing a Beastie Boys T-shirt
resulting in rhabdomyolysis.
E. None of the above

What do you think is the most likely diagnosis?

A. Parsonage Turner Syndrome
B. Stretch neurapraxia of the axillary nerve
C. Stretch neurapraxia of the suprascapular nerve.
D. Good ole muscle strains.
E. A or C.

Please don’t reply all, feel free to reply to me if you want. I’ll tally
up the responses.

This is purely meant for fun and to be a learning exercise if not familiar
with these entities.

Happy Thursday everyone (Happy Friday for our Asian and Australian OCADers)!

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