Today a patient presented for CT arthrography of his shoulder. He had a truly severe contrast reaction previously and would not permit any injection of contrast. MR is not an option, as he has a cardiac pacemaker. His referring MD wants the labrum and capsular attachments assessed in addition to the usual request to assess for a rotator cuff tear. How would you proceed?
I'll show you how I approached this situation in a few days. Please share your thoughts now.
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