X-ray Analysis: Right Shoulder AP View
Patient: Saroj Ku. Sahoo, 57M | Right Shoulder AP | 05/04/2026
Findings
Examining this AP radiograph carefully:
Clavicle
The clavicle appears intact with no visible fracture line, no displacement, and no acromioclavicular joint widening.
Proximal Humerus
The humeral head is located within the glenoid fossa — no dislocation. However, the region of the surgical neck and greater tuberosity warrants close attention. The cortical outline of the proximal humerus shows possible irregularity/lucency at the surgical neck level, which could represent an impacted or minimally displaced fracture. At 57 years, this is a common site for fragility fractures.
Scapula
The scapular body, spine, acromion, and coracoid process appear grossly intact.
Ribs
Visible rib contours appear intact on this view.
Impression
⚠️ There is suspected pathology at the proximal humerus (surgical neck / greater tuberosity region). The cortical margins in this area appear irregular, raising concern for a minimally displaced proximal humeral fracture. Image quality (photograph of a monitor at an angle) limits full assessment.
Recommended Next Steps
| Action | Reason |
|---|
| Scapular Y (lateral) view | Confirms fracture plane and fragment displacement |
| Axillary view | Rules out posterior dislocation |
| CT shoulder | Best for surgical planning if fracture confirmed |
| Orthopedic review | Neer classification and management decision |
Important: This is an AI-assisted preliminary assessment only and does not replace formal radiologist or orthopedic specialist reporting. The image was captured at an angle from a monitor, which reduces diagnostic accuracy. Please have this film formally reported by a radiologist.