ULTRASOUND RIGHT WRIST

History: Bilateral CTS

Comparison: Right hand/wrist radiographs dated 13 January

2023.

Findings:

The median nerve measures 0.08 cm2 at the level of the pronator
quadratus. There is mild thickening and reduced reflectivity of the
median nerve in the carpal tunnel, measuring 0.14 cm2. Distally in
the carpal tunnel the median nerve appears slightly flattened
measuring 0.07 cm2. No extrinsic compressive lesion identified.
No flexor tenosynovitis.

No active synovitis in the radiocarpal, distal radioulnar,

ulnocarpal, CMC, MCP, PIP and DIP joints. Normal extensor
compartments.

Opinion:

Mild thickening of the right median nerve in the carpal tunnel. No

extrinsic compressive lesion identified.
ULTRASOUND LEFT KNEE

History: Anterior pain - ?infrapatellar bursitis/fat pad

impingement

Comparison: Left knee radiographs dated 23 January 2023.

Findings:

Normal quadriceps and patellar tendons. No focal lesion in the

infrapatellar fat pad. No excess fluid in the deep infrapatellar
bursa. Tiny joint effusion. No Baker's cyst.

Normal medial collateral ligament. Tiny pocket of fluid adjacent to

the medial meniscus, with mild focal tenderness on probe
pressure - this is nonspecific. No excess fluid in the pes anserine
bursa.

Normal lateral collateral ligament. The biceps femoris and

popliteus tendons are normal. Normal iliotibial band.

Opinion:

No cause for the patient's symptoms identified.

Consider MRI left knee if symptoms persist or worsen.
Ultrasound Right knee

INDICATION:? Tendinitis, anterior pain

TECHNIQUE: High frequency B-mode scanning
COMPARISON: No comparison study

FINDINGS:
Normal sonographic appearance of the patellar and quadriceps
tendons.

No sizable knee effusion seen. Unremarkable appearance of

visualised medial and lateral ligamentous complexes.
ULTRASOUND LEFT SHOULDER

History: Please check for left Shoulder calcified tendinitis?

Infection?

Comparison: Left shoulder radiographs dated 2 February 2023.

Findings:

There is a large calcific deposit within the bursal surface fibres of

the posterior supraspinatus tendon and within the subacromial
subdeltoid bursa, this measures 12 mm x 18 mm in size. There is
reactive thickening of the subacromial subdeltoid bursa which
measures up to 3 mm in thickness. Focal tenderness on minimal
probe pressure over the calcification. No associated cortical
erosion.

Normal infraspinatus tendon. The subscapularis tendon is

normal. No rotator cuff tear. The long head of biceps tendon is
appropriately sited in the bicipital groove and appears normal.

Mild acromioclavicular joint degeneration.

No sizeable glenohumeral joint effusion.

Opinion:

Calcific tendinosis (supraspinatus) and calcific bursitis.