20-year-old female with a history of sickle cell disease, pain in her arm. Assess for avascular necrosis. ROTATOR CUFF: There is mild increased signal intensity within the supraspinatus tendon suggesting mild tendinosis and mild bursal surface fraying, but we see no discrete tear. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. There is a small cyst in the underlying humeral head which may not be of any clinical significance. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: Although we see no frank fluid within the subacromial/subdeltoid bursa, there is increased signal intensity on fluid sensitive sequences that may reflect minimal inflammation. There is a slight downsloping of the distal clavicle, which is associated with mild impression of the superior fibers of the supraspinatus. GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. The glenoid labrum appears intact within the limitations of a non arthrogram study. There is a small cyst in the humeral head which may not be of any clinical significance. There is a small amount of fluid within the joint without evidence of a large effusion.BICEPS TENDON: The tendon of the long head biceps appears intact. A small amount of fluid within the tendon sheath of long of the biceps likely represents fluid extension from the joint. ADDITIONAL
1. Mild supraspinatus tendinosis and possible bursal surface fraying. There is also mild impression of the superior fibers of the supraspinatus by the distal clavicle with questionable mild inflammation of the subacromial subdeltoid bursa.2. Bony stigmata of sickle cell disease, but no specific features of avascular necrosis. Other findings as described above.