{"id":"69a23130efd4f1d917504116","name":"MRI Shoulder Without Contrast","slug":"mri-shoulder-without-contrast","description":"Structured template for MRI imaging of the shoulder without intravenous contrast, including comprehensive evaluation of rotator cuff tendons, muscles, bicipital tendon, glenohumeral joint, and surrounding structures.","category":{"modality":"MRI","system":"MSK"},"tags":["shoulder","rotator cuff","mri","no contrast","musculoskeletal","joint imaging"],"sections":{"title":{"defaultText":"MRI Shoulder Without Contrast","aiInstructions":"Use the clinical exam title as provided in the report header. Typically 'MRI Shoulder Without Contrast' or similar designation."},"clinicalHistory":{"defaultText":"[Patient-specific — populated at report time]","aiInstructions":"Ask the user for: patient age, sex, presenting complaint, relevant clinical history, and reason for the exam. This section contextualizes the entire report. Always include it."},"comparison":{"defaultText":"No prior studies available for comparison.","aiInstructions":"Document comparison studies if mentioned. If the report explicitly states no prior studies are available, use the default text. If prior studies are referenced, describe the comparison findings."},"technique":{"defaultText":"Multiplanar MRI images of the shoulder were obtained without intravenous contrast.","aiInstructions":"Describe the imaging technique used, including imaging planes, contrast administration status, and any special sequences or protocols employed. Extract directly from the Technique section of the report."},"findings":{"defaultText":"Comprehensive evaluation of the shoulder demonstrates normal rotator cuff tendons and muscles, normal glenohumeral joint, and normal surrounding structures.","aiInstructions":"Organize findings by anatomical structure in a logical sequence. Start with rotator cuff tendons, then muscles, then bicipital tendon, joint structures, and supporting ligaments. Include all observations about pathology or normal findings.","fields":[{"name":"Supraspinatus Tendon","defaultText":"Normal supraspinatus tendon without tendinosis, surface fraying, or focal tear.","aiInstructions":"Document the appearance of the supraspinatus tendon. Note presence or absence of tendinosis, surface fraying, partial tears, or full-thickness tears. Include signal intensity and morphology if abnormal."},{"name":"Supraspinatus Muscle","defaultText":"Normal supraspinatus muscle without atrophy or edema.","aiInstructions":"Assess muscle bulk and signal intensity. Document any atrophy, edema, fatty infiltration, or other abnormalities."},{"name":"Rotator Cuff Interval","defaultText":"Normal rotator cuff interval.","aiInstructions":"Evaluate the interval between supraspinatus and infraspinatus tendons. Note any abnormalities or pathology in this space."},{"name":"Infraspinatus Tendon","defaultText":"Normal infraspinatus tendon without tendinosis, surface fraying, or focal tear.","aiInstructions":"Document the appearance of the infraspinatus tendon. Note presence or absence of tendinosis, surface fraying, partial tears, or full-thickness tears."},{"name":"Infraspinatus Muscle","defaultText":"Normal infraspinatus muscle without edema or atrophy.","aiInstructions":"Assess muscle bulk and signal intensity. Document any atrophy, edema, fatty infiltration, or other abnormalities."},{"name":"Subscapularis Tendon","defaultText":"Normal subscapularis tendon without tendinosis, surface fraying, or focal tear.","aiInstructions":"Document the appearance of the subscapularis tendon. Note presence or absence of tendinosis, surface fraying, partial tears, or full-thickness tears."},{"name":"Subscapularis Muscle","defaultText":"Normal subscapularis muscle without edema or atrophy.","aiInstructions":"Assess muscle bulk and signal intensity. Document any atrophy, edema, fatty infiltration, or other abnormalities."},{"name":"Teres Minor Tendon","defaultText":"Normal teres minor tendon without tendinosis, surface fraying, or focal tear.","aiInstructions":"Document the appearance of the teres minor tendon. Note presence or absence of tendinosis, surface fraying, partial tears, or full-thickness tears."},{"name":"Teres Minor Muscle","defaultText":"Normal teres minor muscle without edema or atrophy.","aiInstructions":"Assess muscle bulk and signal intensity. Document any atrophy, edema, fatty infiltration, or other abnormalities."},{"name":"Deltoid Muscle","defaultText":"Normal deltoid muscle without edema or atrophy.","aiInstructions":"Assess the deltoid muscle for bulk, signal intensity, and any signs of pathology or denervation."},{"name":"Long Bicipital Tendon","defaultText":"Normal long bicipital tendon within the bicipital groove without subluxation, attenuation, or tearing. Normal intracapsular segment of the long bicipital tendon. Normal reflective pulley.","aiInstructions":"Evaluate the long head of biceps tendon in the bicipital groove and intracapsular segment. Document position, integrity, signal intensity, and any subluxation, attenuation, or tears. Assess the pulley system."},{"name":"Humeral Head and Proximal Humerus","defaultText":"Normal humeral head and visualized proximal humerus without bone contusion, fracture, or avascular necrosis.","aiInstructions":"Assess the humeral head for signal intensity abnormalities, fractures, contusions, or avascular necrosis. Include any osseous pathology."},{"name":"Glenohumeral Joint","defaultText":"Normal glenohumeral articulation without labral tear or osseous Bankart lesion. Normal capsulolabral-ligamentous complex.","aiInstructions":"Evaluate the glenohumeral joint space, labrum (anterior and posterior), and ligamentous structures. Document any labral tears, Bankart lesions, SLAP lesions, or ligamentous injuries."},{"name":"Axillary Recess","defaultText":"Normal axillary recess without secondary signs of adhesive capsulitis.","aiInstructions":"Assess the axillary recess for fluid, capsular thickening, or other signs of adhesive capsulitis."},{"name":"Coracoacromial Arch","defaultText":"Normal coracoacromial arch with normal acromioclavicular joint. No stenosis of the subacromial space.","aiInstructions":"Evaluate the subacromial space width and any impingement. Assess the acromion morphology and acromioclavicular joint for arthropathy or osteophytes."},{"name":"Acromion","defaultText":"The undersurface of the acromion is normal.","aiInstructions":"Document the acromion morphology (type: flat, curved, or hooked if specified). Note any osteophytes or irregularities."},{"name":"Ligaments","defaultText":"Normal visualized coracohumeral, coracoacromial, and coracoclavicular ligaments.","aiInstructions":"Assess the integrity and signal intensity of the coracohumeral, coracoacromial, and coracoclavicular ligaments. Document any disruption or abnormality."},{"name":"Glenohumeral Joint Effusion","defaultText":"No glenohumeral joint effusion.","aiInstructions":"Document the presence or absence of intra-articular fluid. If present, describe volume and characteristics."},{"name":"Bursae","defaultText":"No subacromial-subdeltoid or subcoracoid bursitis.","aiInstructions":"Assess the subacromial-subdeltoid bursa and subcoracoid bursa for fluid, inflammation, or thickening. Document any bursitis."},{"name":"Intra-articular Bodies","defaultText":"No intra-articular osteochondral loose bodies.","aiInstructions":"Assess for the presence of loose bodies within the joint space. If present, describe size, location, and composition."},{"name":"Soft Tissues","defaultText":"No soft tissue masses. Normal subcutis adipose space.","aiInstructions":"Evaluate subcutaneous tissues for masses, edema, or other abnormalities. Document any pathology."},{"name":"Quadrilateral Space","defaultText":"Normal quadrilateral space.","aiInstructions":"Assess the quadrilateral space bounded by teres major, teres minor, long head of triceps, and humerus. Document any abnormalities or masses."}]},"impression":{"defaultText":"No acute abnormality identified. Normal rotator cuff with intact tendons and muscles. Normal glenohumeral joint. Normal supporting structures.","aiInstructions":"Synthesize findings into a concise clinical impression. List all significant findings or pathology. If normal, provide a brief summary statement. Avoid redundancy with findings section. Focus on clinically relevant conclusions and any recommendations for further imaging or follow-up."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Shoulder Without Contrast radiology report.","steps":["1. Collect patient clinical history from the user (age, sex, clinical indication).","2. Confirm whether prior studies are available for comparison.","3. For the Technique section, use defaultText or adapt based on actual acquisition parameters.","4. For each field in sections.findings.fields: ask the user for the finding or infer from clinical context. Use defaultText if the structure is normal.","5. Generate the Impression by summarizing the most significant findings from step 4.","6. Use the aiInstructions for each section to guide the depth and format of the content.","7. Maintain formal radiology report language throughout. Passive voice preferred.","8. If any finding is abnormal, quantify it with measurements and describe its imaging characteristics."],"language":"Formal radiology report language. Passive voice preferred. Avoid first-person pronouns.","format":"Numbered impression list. Prose findings paragraphs or structured field-by-field format both acceptable.","units":"Report measurements in centimeters (cm) for masses, millimeters (mm) for small structures."},"meta":{"canonicalUrl":"https://radiluxreports.com/templates/mri-shoulder-without-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-shoulder-without-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a23130efd4f1d917504116","apiUrl":"https://radiluxreports.com/templates/api/mri-shoulder-without-contrast","updatedAt":"2026-03-01T00:12:15.734Z","license":"Free for clinical and educational use. Attribution appreciated."}}