Reason: Evaluate left shoulder for rotator cuff vs. SLAP tear History: left shoulder pain x 6 weeks after fall ROTATOR CUFF: There is a transverse full-thickness tear through the supraspinatus tendon with approximately 1 cm retraction. There is thickening and increased T2 signal within the supraspinatus tendon, consistent with tendinopathy. The infraspinatus, subscapularis, and teres minor tendons appear intact.SUPRASPINATUS OUTLET: Severe degenerative changes affect the acromioclavicular joint with a small amount of fluid in the joint space and small foci of heterotopic bone formation.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is marked globular signal with degeneration of the anterior labrum extending superiorly with more mild changes affecting the posterior labrum. There are small paralabral cysts. There is a small amount of fluid in the glenohumeral joint and subscapular recess. Degenerative changes also affect the humeral head, with multiple small subchondral cysts.BICEPS TENDON: The long and short heads of the biceps tendon are intact. There is increased intermediate signal intensity and thickening of the long head of the biceps tendon, consistent with tendinopathy and fraying.ADDITIONAL
1. Marked degeneration of the anterior and posterior glenoid labrum.2. Full-thickness tear through the supraspinatus tendon with retraction.3. Fraying of the long head of the biceps tendon.