{"id":12173,"date":"2026-06-15T07:39:16","date_gmt":"2026-06-15T07:39:16","guid":{"rendered":"https:\/\/drgazielly.com\/?page_id=12173"},"modified":"2026-06-15T07:40:27","modified_gmt":"2026-06-15T07:40:27","slug":"requesting-specific-imaging-dr-gazielly","status":"publish","type":"page","link":"https:\/\/drgazielly.com\/index.php\/en\/requesting-specific-imaging-dr-gazielly\/","title":{"rendered":"Requesting Specific Imaging \u2013 Dr Gazielly"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p><!-- ===================== PAGE TITLE ===================== --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_custom_heading text=&#8221;3. Requesting Specific Imaging&#8221; font_container=&#8221;tag:h1|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1700000003{margin-bottom: 20px !important;}&#8221;]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- ===================== INTRODUCTION ===================== --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<p>MRI or Arthro-MRI are not systematic. Standard X-rays often provide sufficient information to establish an accurate diagnosis. In our experience, ultrasound is very rarely requested. We prefer printed imaging rather than CD-based imaging, which can sometimes be impossible to read depending on the software used.<\/p>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- ===================== SECTION I : PAIN ===================== --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_custom_heading text=&#8221;I. The patient consults for pain that interferes with daily activities and prevents them from sleeping on their side&#8221; font_container=&#8221;tag:h2|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221;]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- --- Lateral arm pain --- --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<p style=\"color:#0077cc;\"><strong>&#8211; Pain localised on the lateral side of the arm<\/strong><\/p>\n<p>This is likely a rotator cuff tendon injury. It may extend towards the neck and chest, suggesting a shoulder calcification. It may also be associated with pain on the anterior side of the arm, indicating inflammation or an associated injury of the long head of the biceps tendon.<\/p>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- --- AP X-ray --- --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<p style=\"color:#0077cc;\"><strong>&#8211; In all cases, we request an AP X-ray of the shoulder in neutral rotation and a lateral outlet view<\/strong><\/p>\n<ul>\n<li>The AP X-ray reveals a shoulder calcification. The precise diagnosis of the cause of pain is established. Any additional imaging (MRI, ultrasound) is unnecessary.<\/li>\n<\/ul>\n<p style=\"text-align:center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/03\/1540146617.jpg\" alt=\"Shoulder X-ray calcification\" width=\"287\" height=\"240\" \/><\/p>\n<ul>\n<li>The lateral outlet view reveals an aggressive anterior acromion that can cause damage to the rotator cuff tendons and the long head of the biceps tendon. In this case, Arthro-MRI (MRI with contrast injection) is necessary. This specific examination will reveal the condition of the cuff tendons: simple wear caused by the acromial bony spur, or a true tendon tear. Arthro-MRI is more precise than standard MRI. If the patient is claustrophobic, Arthro-CT scan can replace Arthro-MRI.<\/li>\n<\/ul>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- 2 images side by side --><\/p>\n<p>[vc_row][vc_column width=&#8221;1\/2&#8243;]<br \/>\n[vc_column_text]<\/p>\n<p style=\"text-align:center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/03\/6143408708.png\" alt=\"Photo 14\" width=\"287\" height=\"218\" \/><\/p>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][vc_column width=&#8221;1\/2&#8243;]<br \/>\n[vc_column_text]<\/p>\n<p style=\"text-align:center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/03\/1468987304.png\" alt=\"Photo 15\" width=\"277\" height=\"218\" \/><\/p>\n<p>[\/vc_column_text]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column] [vc_custom_heading text=&#8221;3. Requesting Specific Imaging&#8221; font_container=&#8221;tag:h1|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1700000003{margin-bottom: 20px !important;}&#8221;] [\/vc_column][\/vc_row] [vc_row][vc_column] [vc_column_text] MRI or Arthro-MRI are not systematic. Standard X-rays often provide sufficient information to establish an accurate diagnosis. In our experience, ultrasound is very rarely requested. We prefer printed imaging rather than CD-based imaging, which can sometimes be impossible to read depending &hellip; <a href=\"https:\/\/drgazielly.com\/index.php\/en\/requesting-specific-imaging-dr-gazielly\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Requesting Specific Imaging \u2013 Dr Gazielly<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-12173","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages\/12173","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/comments?post=12173"}],"version-history":[{"count":1,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages\/12173\/revisions"}],"predecessor-version":[{"id":12174,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages\/12173\/revisions\/12174"}],"wp:attachment":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/media?parent=12173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}