20-year-old male with right shoulder pain and recurrent dislocations. Evaluate right shoulder for Bankart labral tear and Hill-Sachs lesion. ROTATOR CUFF: There is intermediate signal abnormality within the supraspinatus tendon indicating mild tendinosis. The supraspinatus muscle and tendon appear intact. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is no fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Note is made of a small to moderate-sized Hill-Sachs deformity of the humerus with no associated underlying bone marrow edema, suggesting this is chronic in etiology. There is heterogeneity and blunting of the anterior and anteroinferior glenoid labrum consistent with a tear. There is a focus of low signal intensity along the anterior and medial aspect of the inferior glenoid likely representing a displaced labral fragment (image 9; series 901) which may represent an ALPSA lesion. There is no definite osseous component. There is irregularity of the anterior-inferior margins of the glenohumeral joint capsule suggesting capsular injury.BICEPS TENDON: The long head of the biceps tendon appears intact. ADDITIONAL
Findings consistent with a chronic Hill-Sachs fracture deformity of the humerus as well as a tear of the anteroinferior glenoid labrum with displaced labral fragment as described above. Other findings as described above.