45-year-old male. Shoulder pain months with overhead activities and clicking. Evaluate for labral tear, loose body. ROTATOR CUFF: Mild tendinosis of the supraspinatus without evidence of a full thickness tear. No gross abnormality of the infraspinatus and subscapularis tendons. Diffuse marked fatty atrophy of the teres minor, unchanged.SUPRASPINATUS OUTLET: Again seen is a large os acromiale. Mild osteoarthritis of the AC joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Gadolinium extends into a linear tear within the substance of the superior labrum from the 2 o'clock to 10 o'clock position consistent with a SLAP tear. There are small adjacent associated paralabral cysts. There is blunting/fraying of the anterior and posterior inferior labrum consistent with degenerative tearing. Degenerative cysts within the humeral head near the cuff insertion.A large subchondral cyst-like focus in the inferior glenoid, unchanged, may represent an intraosseous ganglion versus a degenerative cyst. Chronic deformity of the anterior inferior glenoid, may be from remote trauma. Mild osteoarthritis of the glenohumeral joint.BICEPS TENDON: Long head of the biceps tendon is intact and is normally situated in the bicipital groove.ADDITIONAL
Findings consistent with a SLAP tear.