Patient with right shoulder pain, evaluate for labral versus cuff tear. ROTATOR CUFF: There is a complete longitudinal split tear of the infraspinatus tendon near its attachment to the humeral head, with intact fibers distally and no evidence of retraction or buckling. Abnormal globular signal is noted in the subscapularis tendon, consistent with tendinopathy without evidence of distinct tear.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is marked labral defect extending anteriorly and inferiorly, which appears largely degenerated. Additionally, there is extensive underlying chondral defect.BICEPS TENDON: Biceps tendon is intact. ADDITIONAL
1.Complete longitudinal split tear of the infraspinatus tendon, without evidence of retraction or buckling.2.Abnormal globular signal in the subscapularis tendon, consistent with tendinopathy.3.Marked labral defect extending anteriorly and inferiorly, with underlying chondral defects, consistent with extensive degenerative changes.4.Cystic changes in the superior lateral aspect of the humeral head, consistent with moderate degenerative changes.5.Moderate joint effusion.