A Benign Soft Tissue Mass Simulating a Glenoid Labral Cyst on Unenhanced Magnetic Resonance Imaging

A 72-year-old Caucasian man initially presented with a vibratory sensation progressing to pain in his left scapular region. After failed conservative therapy, a left shoulder unenhanced magnetic resonance (MR) imaging study was performed. Initial interpretation suggested a glenoid labral tear with an associated paralabral cyst. Further review of the images identified heterogeneous increased T2-weighted signal intensity, which led to repeat MR imaging with intravenous contrast and the diagnosis of a solid tumor in the suprascapular notch. The MR appearance of the mass is illustrated and the usefulness of intravenous contrast administration in differentiating between a solid and cystic mass on MR imaging is discussed.