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shoulder AP X-ray fracture clavicle proximal humerus scapula

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shoulder AP radiograph fracture findings clavicle proximal humerus scapula identification

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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

ActionReason
Scapular Y (lateral) viewConfirms fracture plane and fragment displacement
Axillary viewRules out posterior dislocation
CT shoulderBest for surgical planning if fracture confirmed
Orthopedic reviewNeer 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.
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