International Journal of Clinical & Medical Imaging Title : Synovial Osteochondromatosis of Shoulder

A 54-year-old female presented with intermittent pain over right shoulder off and on for 1 month. She did not recall any associated major trauma, but she was a retired teacher who frequently needed raising right shoulder for writing on blackboard. Physical examinations only showed a swelling mass about 2 × 1 cm with mild tenderness over right shoulder joint and mild limited of range of motion. The radiography of right shoulder plain film showed multiple rounded, calcified bodies around the shoulder joint (Figure 1). Computed tomography (CT) (Figure 2) and magnetic resonance (MR) images confirmed the presence of widespread distribution of the calcified bodies throughout the shoulder joints with partial thickness tear of supraspinatus tendon involving bursal side and intrasubstance (Figure 3). Therefore, the diagnosis of synovial osteochondromatosis was made. She only received rehabilitations for right shoulder for symptomatic treatment, and the condition gradually improved.