45-year-old male. Shoulder pain months with clicking overhead sports. Evaluate for labeled tear or loose body. ROTATOR CUFF: Full thickness tear of the central fibers of the supraspinatus tendon at their insertion, measuring approximately 9 mm in AP dimension. There is associated fluid in the subdeltoid and subacromial bursa. No significant retraction of the supraspinatus muscle, which demonstrates normal signal. Mild tendinosis of the infraspinatus and subscapularis tendons without evidence of a discrete tear.SUPRASPINATUS OUTLET: Widening of the acromioclavicular joint, which could be posttraumatic or from prior surgery, unchanged. Spurring of the distal clavicle.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. The anterior and posterior inferior labrum is frayed and irregular in shape likely due chronic degenerative tearing.BICEPS TENDON: The long head of the biceps tendon is intact. ADDITIONAL
Full-thickness non-retracted supraspinatus tear and SLAP tear, as described above. 