srjmcrSRJMCRSRJMCR2788-9548https://doi.org/10.47310/srjmcr.2021.v01i01.006Vacuum Phenomenon in bilateral gleno-humeral joint: what does it mean to clinician in chronic kidney disease (CKD) patient?NareshChanderAroraChakshuBatraManpreetBajwaAbhivindBhutaniMahimaBohraSurabhiLathwalTushantBaghlaBharatBhushanSharmaPneumarthrosis or vacuum phenomenon  is seen in many joints where excessive movement is there as a part of degenerative process. This causes a lot of potential confusion in the diagnosis and further to study the details of joint anatomy. The vacuum phenomenon of glenohumeral joint (GJVP) is as a result of normal physiological conditions where the gas collects in the joint. This is more common in intervertebral discs as compared to other locations. These are noticed as incidental findings in asymptomatic patients but may be noticed in other conditions associated with discogenic pain. We present 37-yr male with chronic kidney disease CKD) who underwent routine high resolution computed tomography (HRCT) of chest for evaluation of breathlessness. Though there was no complaint of either of the shoulder joint, but bilateral intraarticular gas was present. These findings were without any underlying degenerative changes or any infective joint pathology. Bilateral GJVP was noticed as incidental finding and was considered to be due to the disturbed underlying physiology because of long standing renal ailment. No treatment was advocated in this case except the permitted physiotherapy.