Pain, questioned rotator cuff or biceps tendon tear ROTATOR CUFF: Supraspinatus tendon and muscle are within normal limits. There is a tiny (1-2 mm) concealed insertional tear of the anterior fibers of the infraspinatus tendon. Mild tendinosis is present posteriorly with underlying cyst formation in the humeral head. The teres minor and subscapularis tendons and muscles are within normal limits.SUPRASPINATUS OUTLET: Trace amount of fluid in the subacromial/subdeltoid bursa. Mild AC joint degenerative changes.GLENOHUMERAL JOINT AND GLENOID LABRUM: No joint effusion. Their superior labrum is absent, presumably representing a chronic tear.BICEPS TENDON: The tendon of the long head of the biceps is identified within the bicipital groove. However, abnormal signal intensity is seen within the tendon at its transition from the bicipital groove to the rotator interval likely representing tearing. Its origin from the glenoid is poorly defined on the sagittal sequences suggesting biceps anchor tear. ADDITIONAL
1. Superior labral and biceps anchor tear. This could be better delineated with MRI arthrogram if clinically warranted.2. Small concealed insertional rotator cuff tear as described.3. Mild AC joint osteoarthritis.