Physical Therapy

PCP: Suspected `supraspinatus tendon irritation of the left shoulder`

Talking points

Results

• XR Shoulder Complete - minimum 2 view - LEFT

  Impression

  Normal shoulder. Thank you for this referral. This examination was interpreted by a Colorado Imaging Associates radiologist. Providers with questions may reach a radiologist directly at 303-223-4448.

  TECHNIQUE

  2 view left shoulder series.

  FINDINGS

  No fracture. No glenohumeral dislocation. No acromioclavicular separation. No lytic or sclerotic bone lesions identified. No advanced degenerative change.

• CTA HEAD NECK

  Impression

  Unremarkable CTA of the head and neck Note: All measured carotid stenoses reference the distal cervical internal carotid artery. Thank you for this referral. This examination was interpreted by a Colorado Imaging Associates radiologist. Providers with questions may reach a radiologist directly at 303-223-4448. WS: CEDENSAH-RAD604 DICTATED BY: STEWART, CRAIG Date: 04/06/2022 15:49 MT TRANSCRIBED DATE: 04/06/2022 15:49 MT Narrative

  HISTORY:

  Head trauma, intracranial arterial injury suspected Neck trauma, arterial injury suspected

  COMPARISON:

  None.

  TECHNIQUE:

  This examination was performed using automated exposure control, adjustment of mA or kV according to patient size, and/or use of iterative reconstruction technique. Contrast enhanced axial CT images of the head and neck were obtained in the arterial phase following the administration of IV contrast. Sagittal and coronal reformations as well as 3-D MIP images were also obtained.

  CTA Neck:

  Aortic arch: Three-vessel arch. No aortic arch branch vessel stenosis. Right carotid system: The common carotid artery and internal carotid artery are normal in caliber. No hemodynamically significant stenosis. Left carotid system: The common carotid artery and internal carotid artery are normal in caliber. No hemodynamically significant stenosis. Right vertebral artery: Patent through the neck. Left vertebral artery: Patent through the neck. Additional findings: No additional significant findings.

  CTA Head:

  Internal carotid arteries: The skull base, cavernous and supraclinoid portions of the internal carotid arteries are patent. Middle cerebral arteries: The middle cerebral arteries are widely patent Anterior cerebral arteries: The anterior cerebral arteries are widely patent. Vertebrobasilar system: The intradural vertebral arteries, basilar artery and posterior fossa branch vessels appear patent. Posterior cerebral arteries: The posterior cerebral arteries are widely patent. There is no intracranial mass effect. The major dural venous sinuses opacify normally. Please see same date head CT for additional details. Partial opacification of the left sphenoid sinus is noted.