CASE OF THE MONTH

March 4, 2008 Diagnostic Imaging. CASE OF THE MONTH K.M. Udo Remmes, Ph.D. -------------------------------------------------------------------------------- CLINICAL HISTORY A 41-year-old man complained of inconsistent episodes of right shoulder pain for four weeks. He did not remember experiencing trauma before the first expression of symptoms. The patient’s medical history did not document prior disturbances. The orthopedic surgeon suspected the presence of impingement syndrome on the basis of an initial physical examination. DIAGNOSIS MR findings revealed calcifying chondromatosis with evidence of residues of prior tendinitis of the rotator cuff insertions and secondary arthrosis indicating the early involvement of the subchondral bone.

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