comparison between ultrasonography results and results of magnetic resonance in shoulder pathology – case report

The common pathological condition of the shoulder joint is rotator cuff diseases. Patient, 68 years, had pain in the shoulder with limited joint mobility. After clinical examination, blood tests (SE >100 nmol/L, CSF normal, hypergamma- globulinemia) and radiographic examination (bone dilution with deformities of the humeral head), a solitary plasmocytoma was suspected. This diagnosis was excluded after biopsy. Patient was referred to the magnetic resonance imaging (MRI) of the shoulder, so ultrasonographic (US) examination was performed. Our case study points to comparability between US and MRI results regarding tendinitis of muscles in the rotator cuff. By applying both diagnostic methods, calcifications within muscle tendons were evident. Sonography is faster, cheaper, more accessible and readily available method that certainly is a valuable tool for clinicians when it comes to rotator cuff lesions.