MRI Left Shoulder + Arthrogram (1.5 Tesla)

Magnetic Resonance Imaging (MRI) of the left shoulder with Arthrogram is an advanced diagnostic procedure that provides detailed images of the structures within the shoulder joint, including the bones, tendons, ligaments, and cartilage. This procedure combines MRI with an arthrogram, wherein a special dye is injected into the shoulder joint to highlight structures and abnormalities more clearly.The shoulder is the most flexible joint in the body, allowing for a wide range of movements. However, its complexity and usage make it susceptible to various injuries and disorders. An MRI with an arthrogram of the left shoulder helps in obtaining a detailed insight into the internal structures, facilitating the diagnosis of injuries and other conditions affecting the shoulder joint.

In an arthrogram, a contrast dye is injected into the joint space. This dye outlines the joint structures, allowing for more precise visualization of the tissues. Combining an MRI with an arthrogram enhances the accuracy of diagnosis, particularly in cases where small tears in tendons or ligaments are suspected.

Specific Instructions:

• Metal Objects: Inform the medical staff if you have any metal implants, pacemakers, or any other metal objects inside your body. Remove any jewelry or other metal objects before the procedure.

• Allergies: Inform the medical staff if you have allergies, especially to contrast materials.

• Medications: Tell the staff about any medications you are taking.

• Pregnancy: If you are pregnant or suspect you might be, inform the medical staff as MRI is generally avoided during pregnancy unless absolutely necessary.

• Clothing: Wear comfortable, loose-fitting clothing. You may be asked to wear a gown.

• Claustrophobia: If you have claustrophobia, inform the medical staff as the MRI machine is enclosed. Medication can be provided to help you relax.

What is the process of getting an MRI with Arthrogram of the Left Shoulder?

Initially, you will undergo the arthrogram. The area around your shoulder will be cleaned, and a local anesthetic will be applied to numb the area. A needle will be carefully inserted into the shoulder joint, and a contrast dye will be injected. This may cause a feeling of fullness or pressure in your shoulder. After the dye is injected, the needle is removed, and a bandage is applied.

Next, you will be taken to the MRI room. You will lie down on a table that slides into the MRI machine. Your shoulder will be positioned properly, and you will be asked to remain very still during the scan. The machine makes loud noises, but you won’t feel anything. This part of the procedure usually takes 30 minutes to an hour.

What is the importance of this test?

MRI of the left shoulder with an arthrogram is vital for diagnosing complex shoulder conditions. The procedure helps in identifying injuries to the rotator cuff, labral tears, ligament injuries, and other disorders that might not be visible on a regular MRI. It’s particularly beneficial for athletes or individuals with chronic shoulder pain where diagnosis is challenging.

• Chronic shoulder pain

• Suspected rotator cuff tears

• Labral injuries

• Assessment of ligaments and tendons

• Evaluation before surgery

What information does it provide?

This test provides detailed images of the shoulder joint, including bones, tendons, ligaments, and cartilage. It can identify tears, inflammation, degenerative changes, and abnormalities in the joint.

How often should this test be done?

The need and frequency of this test are determined based on your symptoms and the recommendations of your doctor.

Which doctor should be consulted in case of abnormal findings?

In case of abnormal findings, it’s best to consult an orthopedic surgeon or a sports medicine specialist.

Is fasting required for this test?

No, fasting is not required for this test.

What are the factors that affect the results?

• Movement during the MRI scan can affect image quality.

• The presence of metal implants or foreign objects can affect the images.

• Patient’s body size and composition.

Are there any risks or side effects?

The risks are minimal. There’s a slight risk of infection or bleeding from the injection site. Some people might have an allergic reaction to the contrast dye, but this is rare.

How long does it take to get the results?

It typically takes a few days for the radiologist to analyze the images and report the findings to your doctor.

Can I resume normal activities after the procedure?

You should be able to resume most normal activities, but avoid strenuous activities involving the shoulder for 24-48 hours.

MRI of the Left Shoulder with an Arthrogram is a highly detailed and informative diagnostic tool. It offers invaluable insights into the structures of the shoulder joint and is particularly effective in identifying tears in tendons or ligaments, helping guide the best course of action for treatment. After the procedure, it's essential to follow up with your doctor to discuss the results and the next steps regarding your shoulder health.