Nineteen patients with RHS who showed herpes zoster oticus, peripheral facial palsy, and vertigo were enrolled. Possible small partial thickness tear along inferior border of right supraspinatus tendon at tendon insertion, otherwise negative.The correlation between enhancement of the vestibulocochlear nerves on gadolinium-enhanced magnetic resonance imaging (MRI) and vestibulocochlear functional deficits was examined in patients with Ramsay Hunt syndrome (RHS). Impression: Minor localized degenerative diseases of right shoulder. Subscapularis and infraspinatus tendons are intact. I cannot exclude a small partial thickness tear along the distal most aspect of the right supraspinatus tendon in its inferior border.
#MR OF TH E NORMAL AND ABNORMAL INTERNAL AUDITORY CANAL FULL#
Supraspinatus tendon shows no evidence of full thickness tear and there is no evidence of fluid in the subacromial/subdeltoid bursa. Long head of the biceps is intact and is normally positioned. No abnormal periarticular fluid collections are identified. There are mild degenerative changes in the right acromioclavicular joint with small osseocartilaginous spur inferiorly. No other marrow space abnormality is identified. These lie subjacent to the supraspinatus insertion. What CPT ® and ICD-10-CM codes are reported by the facility?Įxam: MRI right upper extremity joint W/O contrast Admitting Diagnosis: RT shoulder pain Indication: Right shoulder pain and numbness no comparison study Result: There are a few small subchondral cysts in the humeral head adjacent to the greater tuberosity. No discrete abnormality was seen in the internal auditory canals. Specifically, there is a 7 mm focus in the left CP angle which is probably the cause of the patient's left facial palsy. Multiple lesions were also seen in the brain stem and the brachium pontis. There has been a fairly significant increase in the number of lesions since the last exam. Impression: Multiple hyperintense lesions predominately in the periventricular white matter with characteristic pattern for MS. This would correlate with the patient's symptoms of a left facial palsy. No abnormal signal, enhancement of discrete mass lesion is appreciated within the internal auditory canals. There is a 7 mm focus of increased signal at the left CP angle. There is no edema or mass effect from the lesions. There are multiple punctuate areas of hyperintense signal in the brain stem and brachium pontis. The pituitary gland and cerebellum are unremarkable. The pattern and distribution is most characteristic for MS. The enhancement seen previously has resolved. With contrast enhancement, none of the plaques appear to enhance at this time. Since the prior exam, there has been an increase in the number of hyperintense plaques. Many of the foci are elongated and oriented toward the ventricles. There are multiple punctuate areas of abnormal increased T2 weighted signal in the periventricular white matter and in the subcortical white matter of the centrum semiovale. There are no extra-axial fluid collections. There is no evidence of mass effect or midline shift. The ventricles and sulci are within normal limits. The old study was available for comparison. Sagittal T1 weighted and high resolution coronal and axial pre- and post-Gadolinium images of the internal auditory canals were obtained. Axial T1 weighted pre- and post-Gadolinium (1.6 mL) (iron-based contrast), T2 weighted FLAIR, and diffusion images were obtained. Left facial weakness in a patient w/hx of Bell's Palsy and MS Result: MRI of the brain was obtained at 1.5 Tesla. Exam: MRI brain W/O and W contrast Admitting Diagnosis: Left facial weakness/Bell's palsy Clinical History: Comparison.
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