Rotator cuff tear ROTATOR CUFF: There is a tiny focus of increased signal intensity within the supraspinatus tendon at its insertion upon the greater tuberosity which likely represents a small concealed interstitial tear with a small cyst in the underlying greater tuberosity. Mild fraying of the bursal surface fibers of the anterior supraspinatus are also noted but there is no full-thickness rotator cuff tear. The infraspinatus, teres minor, and subscapularis tendons are intact. The muscles of the rotator cuff are normal in caliber and signal intensity.SUPRASPINATUS OUTLET: There is moderate osteoarthritis of the acromioclavicular joint. A trace amount of fluid is noted in the subacromial bursa which is not necessarily of any clinical significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthritis and cartilage degeneration affects the glenohumeral joint. There is abnormal signal intensity of the superior labrum indicating the presence of a tear with a bucket handle type fragment. There is low signal intensity extending inferiorly along the posterior labrum which may represent a labral fragment resulting from the aforementioned tear or simply a prominent posterior capsular band. Additional linear signal is present within the anterior superior labrum also likely representing extension of the above-mentioned SLAP tear. There is no joint effusion.BICEPS TENDON: No significant abnormality noted. ADDITIONAL
1. Tiny concealed interstitial tear of the supraspinatus tendon with possible bursal surface fraying; however there is no evidence of a full-thickness rotator cuff tear.2. Moderate osteoarthritis of the acromioclavicular joint.3. SLAP tear and other findings as above.