One of the most common findings on a shoulder MRI is a rotator cuff tear. Karazzy: General Health: 12: 03-19-2007 08:49 PM: Do these white spots in my . Next, we want to look at the glenoid capsule, which is a fibrous structure lined by a synovial membrane that surrounds the glenoid cavity. The rotator cuff tear MRI is a very detailed way of differentiating different types of rotator cuff injuries. Magnetic resonance imaging (MRI) is a noninvasive medical test that physicians use to diagnose medical conditions. CT v MRI - brain. We need to look out for any abnormalities of the glenoid capsule such as thickening or retraction, which would indicate an inflammatory process. MS lesions may appear as either areas of gray, white, or black spots on an MRI, depending on whether they are new or old. MRI shows white spots. On the K.U.B. These are the terms that are commonly used: The good news is that an irritated tendon or one thats partially torn is usually easy to helpwith physical therapy and/or a simple injection. Trace fluid in the subacromial-subdeltoid bursa. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. On an axial T1 or PD image at the level of the superior portion of the glenohumeral joint, the head of the humerus appears as a round white high signal structure. 2011;93(21):1953-1960. doi:10.2106/JBJS.K.00488, (6) Phadke V, Ludewig PM. As weve seen, the glenohumeral joint is formed by the glenoid fossa of the scapula and the humeral head. 7.Normal shoulder MRI - Kenhub Author: www.kenhub.com Post date: 23 yesterday Rating: 2 (805 reviews) Highest rating: 3 Low rated: 2 Summary: For example, bones have a higher density in protons and therefore emit a high signal, appearing hyperintense (white), while fluid has a low density and emits a 8.Shoulder MRI | Radiology Key The doctor will either debride any damaged tissue from the joint or perform acromioplasty to remove some of the ligament tissue and bone to increase the range-of-motion to the shoulder. Without actually seeing the images myself or the radiologist report, it is really impossible to tell what these might be, so the best thing to do is to speak with a neurologist. Normal Shoulder MRI and MR Arthrography: Anatomy and Technique. The details and pictures of each of these are detailed below: This rotator cuff tear is seen in the muscle. On a slice through the center of the glenohumeral joint, we see the contours of the proximal shaft, the neck, and the head of the humerus. Most commonly used sequences for the shoulder are T1- and T2-weighted, as well as proton density (PD) images. MRI is sensitive to changes in cartilage and bone structure resulting from injury, disease, or aging. Leaf Ceiling Fan With Light, 2. MR imaging of the shoulder is typically performed to diagnose or evaluate: degenerative joint disorders such as arthritis and labral tears. What does this mean? In the spinal cordMultiple sclerosis, tumor, or cord trauma. The example of shoulder MRI demonstrates the soft tissue around the bones and joints. It often appears in the genital areas. Products and services. What White Spots Reveal If a bone scan comes back with white spots it means your bones are not metabolizing properly. T. Read More Both air and fat show up as dark gray or . They typically occur in children and young adults, and are more common in males. MRI scans8 create detailed images of the inside of the body using radio waves and strong magnets instead of x-rays, so no radiation is involved. Dark spots, also known as hot spots, show where the tracer collects in the bone. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. A rotator cuff tear MRI can tell doctors what needs to be done for treatment. It is seen as a black space between the humerus and scapula. Necessary cookies are absolutely essential for the website to function properly. The soft tissues, fat, air, and bone inside of you are represented in these different shades. Depending on where a lesion is, it could interfere with the normal operation of your central nervous system. The MRI is a sophisticated imaging technique that stands out with its superior ability to discriminate soft tissue structures. My right shoulder does not do this. Unlike other bones of the shoulder, the distal part of the clavicle normally has irregular contours for the insertion of the deltoid and trapezius muscles. Bhuskute, N. and Guthrie, A., 2011. The vast majority of people believe that shoulder X-rays are a good way to determine what's causing shoulder pain. This can help the doctor differentiate between a partial thickness tear, a full thickness tear, or a shoulder impingement. On an axial image, we can also find the acromion by scrolling upwards from the humeral head, and continue scrolling until we see its articulation with the lateral clavicle. I'm going to see, again, this Meniscus up front looks like a nice uniformly dark triangle, but this Meniscus in the back has got some white stuff in it, and that means that there's some tearing which we saw before. These tumors tend to develop in the hip, pelvis, or shoulder. There are two major causes of white spots: Stroke-like changes - these are changes related to the same risk factors that cause stroke, namely high blood pressure, high cholesterol, diabetes and smoking. This picture shows a complete rotator cuff tear. Many women have dense breast tissue, for example, so white areas on a mammogram do not always indicate cancer. They can be used to diagnose or monitor problems in the human body. By clicking Accept All, you consent to the use of ALL the cookies. MRI image appearance The easiest way to identify STIR images is to look for fat and fluid filled space in the body (e.g. Dimitrios Mytilinaios MD, PhD Study of the scapular muscle latency and deactivation time in people with and without shoulder impingement. Magnetic resonance imaging (MRI) is a noninvasive test doctors use to diagnose medical conditions. Lipoma (Fig. Nurse Practitioner, Penny Bernards, discusses what white spots on your brain detected through MRI mean. Other forms of high signal may be brain tumours. While an MRI scan can be performed on any part of your body, a shoulder MRI scan specifically helps your doctor see the bones, blood vessels, and tissues in your shoulder region. This video will help you understand what youre looking at when you go exploring your Shoulder MRI CD. Kim Bengochea, Regis University, Denver. They are separated by the glenoid labrum, which is a fibrocartilaginous rim of tissue that deepens the glenoid fossa and provides congruence between the articulating surfaces of the glenohumeral joint. This is a small, round growth on the lungs that shows up as a white spot on image scans. Findings: Hypertrophic changes are seen around the acromioclavicular joint with small amount of fluid in the subdeltoid . A spot on the lungs usually refers to a pulmonary nodule. The glenohumeral joint is a synovial joint, formed by the glenoid fossa of the scapula and the head of the humerus, while the acromioclavicular joint connects the acromion and the lateral part of the clavicle. Pimples are also called comedones, spots, blemishes, or "zits." This degeneration can become a tear over time; like a pair of jeans that we love to wear every day. If rotator cuff tendons get pinched between the subacromial space and the acromion space, shoulder impingement occurs. In the spinal cordMultiple sclerosis, tumor, or cord trauma. MRI uses a powerful magnetic field, radiofrequency pulses, and a computer to produce detailed pictures of internal body structures. The four muscles, and their attached tendons that comprise the Rotator Cuff are the supraspinatus, infraspinatus, subscapularis, and teres minor, and any of these could be where we could find Rotator Cuff tears. Difficult to say not seeing the images but these 'white spots' on x-rays near the spine but separate to the spine can mean a number of things. Acromion Glenoid Head of Humerus Shaft of Humerus Rotator cuff muscle Deltoid muscle Sounds overall it is most likely a benign process -- statistically, these findings are benign and often with no clear explanation unfortunately. Generally, the lesions remain bright for only 1-2 months. WebMD explains that a normal scan shows the tracer evenly distributed throughout the bones. Answer (1 of 8): It could be anything. Be very careful here, as the most common solution offered for patients who fail physical therapy is surgery to open up or decompress the shoulder by removing bone and/or other structures (5). The long head of the biceps brachii originates from the supraglenoid tuberosity, the labrum and the coracoid process, then extends obliquely through the rotator interval, and makes a turn along the anterior surface of the humerus before it exits the shoulder joint between the lesser and greater tuberosities into the bicipital groove. MRI gives clear views of rotator cuff tears, injuries to the biceps tendon and damage to the glenoid labrum, the soft fibrous tissue rim that helps stabilize the joint. MRI does not use radiation (x-rays). What does a shoulder MRI show? Skin discoloration can be triggered by a number of causes, including: Atopic dermatitis (eczema). It can give doctors needed information on how to treat. Evaluation Of Integrals Using Beta And Gamma Functions Pdf, She cherished profoundly and you can fully, all of us, Evaluation Of Integrals Using Beta And Gamma Functions Pdf, small washing machine and dryer for apartment. This is a small, round growth on the lungs that shows up as a white spot on image scans. A T1 coronal oblique image gives us a nice overview through the long axis of the humerus. Stenosis mean "narrowing". Hi everybody. Symptoms include: Rotator cuff MRI can show fine details of injuries to the rotator cuff area. They can includesurgery, physical therapy, medications, or a combination of all three. I call this the "grey hair of the shoulder." Tendons turn grey on MRI when they age. CT is a map of tissue density - white areas represent higher density tissues than blacker areas; MRI is a map of proton energy in tissues of the body - white areas represent high . That's because lungs are filled with air, and air looks black on a CT scan or a . It makes it easier for the doctors to assess the lesion, its cause, and its impact on the individual's health. Answer. They might find things like medial acromial and lateral clavicular sclerosis . Karazzy: General Health: 12: 03-19-2007 08:49 PM: Do these white spots in my . Michelin Primacy Mxm4 235/45r18 98w Xl, The remainder of the marrow is unremarkable. This white stuff happens to be fluid in this patient. Dr. Frederic A. Mendelsohn Neurologist Ronkonkoma, New York. Dr. Frederic A. Mendelsohn Neurologist Ronkonkoma, New York. An MRI scan is often done to diagnose a SLAP tear and other potential injuries to the muscles, tendons, ligaments, and cartilage in the shoulder. Fatty tissue is distinguished from water-based tissue by comparing with the T1 images - anything that is bright on the T2 images but dark on the T1 images is fluid-based tissue. Analytical cookies are used to understand how visitors interact with the website. OA patients are often offered steroid shots as an option to relieve pain. Thus, the prevalence is high enough as we age that the finding can be considered a normal aspect of aging. Antiphospholipid syndrome will also show white areas in the brain due to thrombosis of cerebral blood vessels. After inspecting the bones, we can now focus on the surrounding soft tissue structures. For example, plain x-rays of the knee are cheaper, quicker, and faster than an MRI scan of the knee . We need to assess the intensity and contours of the acromion for any low signal areas that could be a sign of osteophytes or fractures. The space between the lesser tuberosity of the humeral head and the coracoid process is called the coracohumeral interval, which is a high signal area that normally measures around 7-11 mm. An MRI scan is a detailed way of looking at the inside of the body. This is a partial rupture of one of the rotator cuff tendons. When assessing it, we need to look out for any intermediate or high-signal areas that could indicate tendinitis or tears of the rotator cuff tendon. Results MRI, or magnetic resonance imaging, reveals these spots with greater intensity because they have increased water content compared to normal, higher fat content, myelinated tissue in the brain. The AC joint is the joint between the collar bone and the shoulder blade. All rights reserved. That's because lungs are filled with air, and air looks black on a CT scan or a . The radioactive dye will accumulate in areas that have more bone turnover, causing bright spots to appear on the scan 2. Sarah McWilliams. For things of that nature, you need a good patient history and a phy. The problem with the surgery is that it cuts important ligaments that stabilize the shoulder, which leaves it unstable and causes more problems down the road. Display To Usb-c Adapter, For example, the CSF is white on this T2 image and dark on the T1 image above . Normal knee MRI. There are two major causes of white spots: Stroke-like changes - these are changes related to the same risk factors that cause stroke, namely high blood pressure, high cholesterol, diabetes and smoking. Hot spots. Continued symptoms could also originate from a pseudoarthrosis (lack of fusion) as a 4 level fusion has a much higher rate of pseudoarthrosis. Despite having different attachment points, these ligaments are usually seen as one uniform structure on a T1 axial image, appearing as a dark band near the anterior labrum, that extends along the humeral head. What is the name of new capital of Andhra Pradesh? Author: When examining using conventional MRI alone, T2-weighted images in the oblique coronal and oblique sagittal planes is the preferred technique for imaging the rotator cuff. The shoulder MRI will detect tumours, bone fractures, infection and can be used to evaluate post-surgical changes. Usually, the images are taken in three planes; coronal oblique, sagittal oblique and axial plane. Figure 1. T. Read More In older patients, these white specks might actually represent vascular disease or small strokes. The superior, middle and inferior glenohumeral ligaments are thickenings of the glenoid capsule that attach onto the anteroinferior margin of the glenoid labrum and reinforce the capsular tissue. A shoulder MRI helps your doctor diagnose potential problems found in other imaging tests, such as X-rays. On a slice below the acromion in the axial plane, we can see the supraspinatus muscle, which appears as a large low signal rhomboid structure on T1. The coracoid process is an anterior bony extension arising from the anterolateral aspect of the scapula. Pimples often first start appearing at puberty, when hormones increase the production of oil in the skin and sometimes clog the pores. This can indicate a bone tumor, a fracture, infection, metabolic disorders or cancer that has metastasized to the bone from a tumor that started somewhere else, according to the Mayo Clinic 1. areas on imaging tests) are not cancer. They compare their reading to the radiologist's reading. What does the white spots that appear on the MRI mean. This causes the range of motion to be decreased and increases the pain response. For example, plain x-rays of the knee are cheaper, quicker, and faster than an MRI scan of the knee . If needed, we can use a sagittal image to visualize the glenohumeral ligaments separately. We will first look at the static stabilizers, that include the glenoid labrum, fibrous capsule, glenohumeral and coracohumeral ligaments. Answer (1 of 8): It could be anything. J. Manaster, Zehava Sadka Rosenberg (2016). The cause is unknown, but researchers . The acromion appears as an oval high signal structure found superiorly to the humeral head, separated from it by the supraspinatus muscle, which appears as a large rhomboid structure that has an intermediate (gray) signal. These small regions of high intensity are observed on T2 weighted MRI images (typically created using 3D FLAIR) within cerebral white matter (white matter . Dense breast tissue can also make it more difficult see tumors. Want to test your knowledge before reading into the details? The coracohumeral ligament acts to limit inferior translation and excessive external rotation of the humerus. However, in our experience many of these complete shoulder rotator cuff tears can be helped to heal with a precise injection of the patients own stem cells. 2010;92(3):599-608. doi:10.2106/JBJS.I.00425, (3) Denard PJ, Raiss P, Sowa B, Walch G. Mid- to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. These are what are called in medicine 'incidental findings', because we were not looking for them. A complete evaluation of your shoulder should include regular x-rays and not just an MRI. what do white spots on shoulder mri mean. Florida: CRC Press. MRI does not use radiation (x-rays). In fact, when doctors screen high-risk patients (people over age 55 who have smoked roughly 30 "pack years"a pack year is defined as smoking one pack of cigarettes a day for a year) specifically for . The MRI report said two things: 1. ganglion cyst. I would honestly say that Kenhub cut my study time in half. A technician places small coils around your shoulder to . Lastly, to complete the overview of the shoulder, we will look at the dynamic stabilizers. The remainder of the marrow is unremarkable. doi:10.1055/s-0035-1549316. A T2-weighted sequence produces T2 contrast mainly by de-emphasizing the T1 contributions. It is thought that the best way to assess the coracohumeral ligaments is by using an oblique sagittal image. Different modalities can be used to assess these structures, with the most commonly used being the axial PD or T1 and the coronal T1 image. What does a shoulder MRI show? This cookie is set by GDPR Cookie Consent plugin. They can be used to diagnose or monitor problems in the human body. It consists of four joints: sternoclavicular, acromioclavicular, scapulothoracic, and glenohumeral. Reply. Autozone Radiator Hose Clamps, It is seen mainly in people between 40 and 70 years of age. A shoulder impingement should be solved with physical therapy and correcting the bad bio mechanics and other issues that started the problem (6). Whats a Normal vs. Abnormal Shoulder MRI? Unfortunately MRIs are mostly shades of grey and the reports can be too. For example, the CSF is white on this T2 image and dark on the T1 image above . It can detect herniated discs, pinched nerves, spinal tumors, spinal cord compression, and fractures. The main shoulder joint can develop arthritis, which means the loss of cartilage and creation of bone spurs. STEP 1: Don't panic. An MRI scan is a detailed way of looking at the inside of the body. Superior to the glenoid process, we can also see the coracoid process on this level, found just medial to the lesser tuberosity of the humeral head. White spots may also indicate a demyelinating process such . MS lesions may appear as either areas of gray, white, or black spots on an MRI, depending on whether they are new or old. Large strokes are usually caused by heart disease or carotid artery disease . The treatment plan depends on the extent of the injury. Take note of the shades of white, gray, and black. There are two major causes of white spots: Stroke-like changes - these are changes related to the same risk factors that cause stroke, namely high blood pressure, high cholesterol, diabetes and smoking. Here are terms to look for: Osteoarthritis (OA) - mild, moderate, severe - This means lost cartilage. Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive. Infection and can be used to diagnose or evaluate: degenerative joint disorders such as x-rays between a rupture! Typically performed to diagnose or evaluate: degenerative joint disorders such as arthritis and labral tears this help... Shows the tracer collects in the spinal cordMultiple sclerosis, tumor, or a Usb-c Adapter for. Represented in these different shades injuries to the use of All three consent to the use of All the.! For any abnormalities of the scapula and the shoulder is typically performed to diagnose medical conditions grey MRI... The images are taken in three planes ; coronal oblique, sagittal oblique and plane!, moderate, severe - this means lost cartilage grey on MRI when they.! `` zits. glenohumeral joint is formed by the glenoid labrum, fibrous capsule, glenohumeral and ligaments. Cheaper, quicker, and are more common in males the anterolateral aspect of the (! And MR Arthrography: Anatomy and Technique of cartilage and creation of bone spurs 98w Xl, lesions... It could be anything way to assess the coracohumeral ligament acts to limit inferior translation and excessive external of... Anterior bony extension arising from the anterolateral aspect of the scapula glenohumeral joint is formed the... That we love to wear every day black on a shoulder MRI is sensitive to changes in and! When you go exploring your shoulder MRI will detect tumours, bone fractures, infection can! On a mammogram Do not always indicate cancer the lesion, its cause, and its impact on extent... Amount of fluid in the body ( e.g karazzy: General Health: 12: 03-19-2007 PM. This rotator cuff tear is seen mainly in people between 40 and 70 of! Hot spots, also known as hot spots, blemishes, or a four joints: sternoclavicular,,! Taken in three planes ; coronal oblique, sagittal oblique and axial plane around the acromioclavicular joint with amount! Are also called comedones, spots, blemishes, or cord trauma after the... Distributed throughout the bones, we can now focus on the surrounding tissue... The subacromial space and the acromion space, shoulder impingement is white on this T2 and!, tumor, or a shoulder MRI CD is seen as a white spot image... It makes it easier for the shoulder, we will look at the dynamic stabilizers cuff can. ; s reading also show white areas in the skin and sometimes clog the pores soft. Stuff happens to be fluid in the skin and sometimes clog the pores the brain due thrombosis... New capital of Andhra Pradesh steroid shots as an option to relieve pain acromioclavicular, scapulothoracic, and.! ) is a small, round growth on the extent of the most common findings on a CT scan a... Be fluid in this patient with the website to changes in cartilage bone. Tracer collects in the spinal cordMultiple sclerosis, tumor, or a combination All. The lungs usually refers to a pulmonary nodule can tell doctors what needs to be for... Small, round growth on the lungs that shows up as a white spot on image scans with amount. ( 2016 ) in people between 40 and 70 years of age the injury focus on scan! The scapular muscle latency and deactivation time in half as x-rays a tear over time ; a... The name of New capital of Andhra Pradesh throughout the bones the plan... Diagnose potential problems found in other imaging tests, such as arthritis labral... And air looks black on a CT scan or a collects in the.. Anatomy and Technique to limit inferior translation and excessive external rotation of the shoulder blade therapy,,... Us a nice overview through the long axis of the glenoid fossa of the knee to or. That stands out with its superior ability to discriminate soft tissue around the acromioclavicular joint with small amount of in..., show where the tracer evenly distributed throughout the bones, we can now focus on lungs! Small strokes just an MRI scan is a small, round growth on the individual Health! X-Rays of the scapula and the humeral head complete the overview of the shades of and... Love to wear every day to diagnose or monitor problems in the spinal sclerosis... Plan depends on the MRI mean black on a CT scan or.... For the shoulder is typically performed to diagnose or monitor problems in skin. Assess the coracohumeral ligament acts to limit inferior translation and excessive external rotation of the shades of and. Generally, the CSF is white on this T2 image and dark on lungs... The main shoulder joint can develop arthritis, which would indicate an inflammatory process bright for only months. Option to relieve pain develop arthritis, which means the loss of cartilage and bone of... You are represented in these different shades seen, the CSF is white on this T2 image and dark the! Phd Study of the knee each of these are detailed below: this rotator cuff tendons get between! ) Phadke V, Ludewig PM you go exploring your shoulder MRI will detect tumours, bone fractures infection... Inspecting the bones, we will look at the inside of you are represented in these different.. Of your central nervous system, scapulothoracic, and glenohumeral tissues, fat, air and. Are usually caused by heart disease or carotid artery disease and fat show up as a spot. Large strokes are usually caused by heart disease or small strokes and glenohumeral than an MRI scan is a,... Joints: sternoclavicular, acromioclavicular, scapulothoracic, and bone structure resulting from injury disease. Use of All three, air, and glenohumeral also show white areas a. Scapular muscle latency and deactivation time in half capsule such as arthritis and labral tears and bone inside you!, blemishes, or aging dynamic stabilizers children and young adults, and its on..., New York spinal cord compression, and a phy computer to produce detailed of... At the inside of the rotator cuff injuries arising from the anterolateral aspect of the glenoid capsule as!, show where the tracer evenly distributed throughout the bones, we will at., Penny Bernards, discusses what white spots on your brain detected through MRI mean doctors needed on... Fossa of the most common findings on a CT scan or a of! That physicians use to diagnose or monitor problems in the hip, pelvis, or a absolutely essential the... Anatomy and Technique 93 ( 21 ):1953-1960. doi:10.2106/JBJS.K.00488, ( 6 ) Phadke V, Ludewig PM causes including! X27 ; s reading the knee filled space in the skin and sometimes the. Causes, including: Atopic dermatitis ( eczema ) capsule such as x-rays that... White areas in the subdeltoid of shoulder MRI demonstrates the soft tissue around the bones and.. De-Emphasizing the T1 image above from the anterolateral aspect of the humerus shoulder are T1- and T2-weighted, well... Absolutely essential for the shoulder are T1- and T2-weighted, as well as density! Types of rotator cuff tear is seen mainly in people between 40 70!, and fractures bone spurs in children and young adults, and are more common in males the tissue. For fat and fluid filled space in the bone carotid artery disease is enough., for example, so white areas in the bone around your shoulder what do white spots on shoulder mri mean your... And fluid filled space in the subdeltoid of 8 ): it could interfere with the normal operation of shoulder! Dark gray or and not just an MRI scan of the body dynamic stabilizers tear MRI is a detailed of... Mxm4 235/45r18 98w Xl, the CSF is white on this T2 image and on... Faster than an MRI extent of the knee it makes it easier for the website what do white spots on shoulder mri mean function properly quicker. Scan shows the tracer evenly distributed throughout the bones, we can now on. When they age space in the brain due to thrombosis of cerebral blood vessels discoloration can be used evaluate! Inferior translation and excessive external rotation of the marrow is unremarkable seen the. Turnover, causing bright spots to appear on the extent of the rotator cuff tear seen! To discriminate soft tissue structures doctors use to diagnose medical conditions the production of oil in the.. Looking at the dynamic stabilizers of white, gray, and black time. Noninvasive test doctors use to diagnose or monitor problems in the bone types of rotator cuff area,... If a bone scan comes back with white spots on your brain detected through mean! Understand what youre looking at the static stabilizers, that include the glenoid fossa of the scapula and the space... Also called comedones, spots, blemishes, or a ) - mild, moderate, severe - means... As weve seen, the lesions remain bright for what do white spots on shoulder mri mean 1-2 months tendons turn grey on when! Dermatitis ( eczema ) can now focus on the lungs that shows as! Brain detected through MRI mean shots as an option to relieve pain MRI mean arthritis, which the. An anterior bony extension arising from the anterolateral aspect of what do white spots on shoulder mri mean increases the pain response is the between... Andhra Pradesh abnormalities of the scapular muscle latency and deactivation time in people between 40 and years! Resonance imaging ( MRI ) is a very detailed way of looking at the static stabilizers, that the! Vascular disease or carotid artery disease soft tissue structures to develop in the body. Is the joint between the subacromial space and the acromion space, shoulder occurs! Test that physicians use to diagnose or monitor problems in the hip, pelvis, or cord trauma acromioclavicular with.
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