Reason: labral tear History: pain and locking ROTATOR CUFF: There is a small concealed insertional tear of the supraspinatus tendon at its insertion, measuring just under 1 cm in the AP dimension, involving less than 50% of the thickness of the tendon. The remainder of the supraspinatus tendon and muscle appear normal. There is perhaps mild insertional tendinosis of the infraspinatus, but otherwise the infraspinatus appears normal. The subscapularis and teres minor muscles and tendons appear normal. There is gadolinium infiltration within the subscapularis muscle which is likely iatrogenic.SUPRASPINATUS OUTLET: Mild to moderate osteoarthritis affects the acromioclavicular joint. There is spurring of the anterior aspect of the acromion process with perhaps mild impression upon the superior fibers of the supraspinatus. There is a trace amount of fluid within the subacromial/subdeltoid bursa, but no gadolinium is identified to indicate a full-thickness rotator cuff tear.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is increased signal intensity within the anterior aspect of the superior labrum, appearing more prominent than a typical sublabral sulcus and we suspect that this represents a tear, but the clinical significance of this is uncertain. We also suspect that this signal abnormality extends into the biceps anchor. The anterior inferior labrum appears slightly blunted, but there is no convincing inferior labral tear.BICEPS TENDON: The remainder of the visualized tendon of the long head of the biceps appears normal.
1. Findings suspicious for a tear of the anterior superior labrum with probable extension into the biceps anchor.2. Concealed interstitial tear within the supraspinatus at its insertion.3. Osteoarthritis of the acromioclavicular joint.