Reason: labral tear History: pain and apprehension ROTATOR CUFF: There is intermediate signal intensity within the distal supraspinatus tendon indicating mild tendinosis. There is subchondral cyst formation within the greater tuberosity and the surrounding area. The supraspinatus tendon appears intact. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: No fluid or intra-articular gadolinium is identified within the subacromial subdeltoid bursa. Moderate degenerative changes affect the acromioclavicular joint with osteophyte formation along the inferior aspect of the clavicle resulting in slight impression upon the superior fibers of the supraspinatus.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. No articular cartilage defects are identified. Intra-articular gadolinium enters the superior labrum at the 11 o'clock position and extends superiorly and laterally within the labrum indicating a tear. The tear extends anteriorly within the labrum indicating a SLAP tear. It also enters the labrum posterior to the expected location of the biceps anchor confirming a tear.BICEPS TENDON: There is poor visualization of the intra-articular portion of the long head of the biceps tendon. Additionally, the long head of the biceps tendon is poorly visualized/thinned within the bicipital groove. These findings are suspicious for a tear with retraction. The biceps anchor is poorly visualized also indicating a tear.ADDITIONAL
1. SLAP tear of the glenoid labrum.2. The intra-articular portion of the long head of the biceps is poorly visualized, as is the biceps anchor, indicating tearing of the long head of the biceps tendon with retraction.