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I Recently Had A Shoulder MRI Without Contrast Because Of
Posted on
Thu, 22 Aug 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 22 Aug 2019
Answered on
Last reviewed on
Question : I recently had a shoulder MRI without contrast because of severe shoulder pain. The MRI showed tendonitis,burstis, full tear of rotator cuff and 2 smaller tears elsewhere. Doctor said I have frozen shoulder and severe inflammation. I am extremely concerned about another finding on the mri. Multiple right axillary shotty lymph nodes with some demonstrating cortical thickening suggestive of possible lymphadenopathy. I am scheduled for a mammogram and great ultrasound and a ct scan was suggested.Does this suggest I have cancer? Is it possible for these to be enlarged for some other reason. Viral illness, inflammation in the right shoulder, etc.? The fact that is states cortical thickening, does that mean it is probably cancer? I am sick with worry. any information would be helpful. Thank you.
Brief Answer:
ENLARGED AXILLARY L.NODES
Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and here is my opinion.
As per plain MR Scan,you have frozen shoulder.
It is very likely that you might be having enlarged lymph nodes,in response to it.
Most common causes of lymphadenopathy is infections and inflammation.
Even generalized lymphadenopathy is most often associated with systemic viral infections.
Other causes of lymphnode enlargement includes autoimmune diseases, glycogen storage diseases, benign hyperplasia, and drug reactions.
They are also enlarged in malignancies.
Yes.....cortical thickening and hilum absence is usually seen in metastasis
but there are different criteria s to label cortical thickening.
Different ratios of cortex to hilum are used by different interpreters.
This is a rough estimate of a non invasive screening and would only be confirmed by FNAC ,puncture and core biopsy.
To ascertain the cause,you need to undergo Mammography,Ultrasound and CT Scan which is to be done shortly.
Hope that I have answered your query.
If you have any doubts,please let me know.
Stay healthy.
Regards.
ENLARGED AXILLARY L.NODES
Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and here is my opinion.
As per plain MR Scan,you have frozen shoulder.
It is very likely that you might be having enlarged lymph nodes,in response to it.
Most common causes of lymphadenopathy is infections and inflammation.
Even generalized lymphadenopathy is most often associated with systemic viral infections.
Other causes of lymphnode enlargement includes autoimmune diseases, glycogen storage diseases, benign hyperplasia, and drug reactions.
They are also enlarged in malignancies.
Yes.....cortical thickening and hilum absence is usually seen in metastasis
but there are different criteria s to label cortical thickening.
Different ratios of cortex to hilum are used by different interpreters.
This is a rough estimate of a non invasive screening and would only be confirmed by FNAC ,puncture and core biopsy.
To ascertain the cause,you need to undergo Mammography,Ultrasound and CT Scan which is to be done shortly.
Hope that I have answered your query.
If you have any doubts,please let me know.
Stay healthy.
Regards.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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