41 year old female with right shoulder pain. Evaluate for labral tear. Evaluation is slightly limited due to the inability to properly position the patient.ROTATOR CUFF: There is mild increased signal intensity of the supraspinatus and infraspinatus tendons, suggesting mild tendinosis. Additionally, gadolinium appears to undercut the articular surface fibers of the rotator cuff at its insertion, in particular, the posterior fibers of the supraspinatus and anterior fibers of the infraspinatus. This may represent partial thickness stripping of the articular surface fibers from the bone, however, there is no full-thickness rotator cuff tear. There is perhaps mild undersurface fraying of the subscapularis tendon. We see no evidence to suggest a full-thickness tear.SUPRASPINATUS OUTLET: There is perhaps a trace amount of fluid within the subacromial subdeltoid bursa, but we see no evidence of frank bursitis. Intra-articular gadolinium does not enter the subacromial subdeltoid bursa. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Moderate osteoarthritis affects the glenohumeral joint with thinning of the articular cartilage of the glenoid, particularly along its anterior and superior aspect with a full-thickness articular cartilage cleft identified. Gadolinium enters the superior labrum, indicating a SLAP tear, which does not definitively extend to involve the tendon of the long head of the biceps. The anterior superior labrum appears at least partially detached from the glenoid which may represent extension of the labral tear. There is fraying of the anterior inferior glenoid labrum.BICEPS TENDON: There is a small focus of low signal intensity within the tendon sheath which may represent a loose body, but the tendon of the long head of the biceps is otherwise normal.
1. SLAP tear as described above with additional tearing/fraying of the anterior glenoid labrum.2. Moderate osteoarthritis affects the glenohumeral joint.3. Probable stripping of the undersurface fibers of the supraspinatus and infraspinatus tendons from the greater tuberosity but no full-thickness rotator cuff tear is evident.4. Loose body in biceps tendon sheath.