MedPix Medical Image Database

COW - Case of the WeekCase Contributor: Browyn P RichardsAffiliation: National Naval Medical Center Bethesda

MedPix No: 9241 - HistoryPt Demographics: Age = 35 y.o. Gender = womanPatient recently completed steroid treatment for unknown disorder reports sudden onset of non-traumatic bilateral shoulder pain.

Downloaded by (-1)

MedPix No: 9241 - EXAM & LABSShoulder pain with motion. No labs obtained.

Calcific Tendinitis

Externally rotated right shoulder demonstrating focal calcification within the superspinatus tendon. Also, note calcific density projecting over the humeral head in the region of the lesser tuberosity.

Downloaded by (-1)

Calcific Tendinitis

Externally rotated left shoulder demonstrating focal calcification within the superspinatus tendon. Also, note calcific density projecting over the humeral head in the region of the lesser tuberosity.

Downloaded by (-1)

Calcific Tendinitis

Internally rotated right shoulder demonstrating calcification within the infraspinatis tendon. Also, note calficic density projecting over the humeral head in the region of the greater tuberosity.

Downloaded by (-1)

Calcific Tendinitis

Internally rotated left shoulder demonstrating calcification within the infraspinatus tendon. Also, note calcific density projecting over the humeral head in the region of the greater tuberosity.

Downloaded by (-1)

FINDINGSCalcification in the bilateral shoulders in the region of the supraspinatus and infraspinatus tendons.

DIFFERENTIAL DIAGNOSISWhat is your Differential Diagnosis?For shoulder pain: - - Acromoclavicular joint arthritis- - Adhesive capsulitis- - Cervical spondylosis- - Impingement syndrome- - Rheumatoid arthritis- - Rotator cuff tear- - Septic Joint- For the imaging findings: Loose bodies

Diagnosis: Bilateral supraspinatus and infraspinatus calcific tendinitis.Dx Confirmed by: Plain radiographs.

DISCUSSIONNone.