Lab Studies:
A complete blood count, comprehensive metabolic panel, erythrocyte sedimentation rate, and C-reactive protein were obtained and were unremarkable.
Other Studies:
Radiographs of the left shoulder demonstrated no joint effusion, malalignment, or degenerative changes. <a href="CaseStudyImages/CS5StingingShoulderS-1390.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a>
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<br>Magnetic resonance imaging of the left shoulder demonstrated intact supraspinatus, infraspinatus, and teres minor tendons. The long head of the biceps tendon was normal, and the glenoid labrum was intact. No muscular atrophy was identified. There was no evidence of degenerative joint disease, and the articular cartilage was preserved. No glenohumeral joint effusion was present. <a href="CaseStudyImages/CS2CS1StingingShould-1390.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS6CS5StingingShould-1390.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a>
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<br>Subsequent magnetic resonance imaging of the left brachial plexus demonstrated a 0.8 x 2.0 cm T2 heterogeneous hyperintense lesion with mild heterogeneous enhancement located deep to the medial aspect of the left serratus anterior muscle, concerning for a small elastofibroma dorsi. <a href="CaseStudyImages/CS7CS6CS5StingingSho-1390.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a>
Consultations:
Physical Therapy and Orthopedic Surgery were consulted.
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