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Fig. 2B. —30-year-old man, former college swimmer who experieced acute shoulder pain while bench pressing. Cartilage defect was not diagnosed prospectively on MR imaging but only seen in retrospect after arthroscopic identification. Oblique coronal spin-echo T1-weighted MR image with fat suppression (TR/TE, 600/20) shows diluted intraarticular gadolinium extending into cartilage defect (open arrow). Note focal thickened cartilage (curved arrow).