Check for SLAP tear. Pain and clicking. Exam is limited in the absence of augmentation and an existing effusion.ROTATOR CUFF: Mild undersurface fraying of the supraspinatus with otherwise intact fibers. The remainder of the rotator cuff is otherwise intactSUPRASPINATUS OUTLET: Moderate osteoarthritic changes of the AC joint with more mild to moderate changes of the shoulder. This includes minimal narrowing, more pronounced osteophytes and subchondral cysts.GLENOHUMERAL JOINT AND GLENOID LABRUM: Specifically the labrum is grossly intact, however small diminished, specifically along the anterior aspect. Additionally abnormal signal underlying the superior component suggesting detachment is observed, however free fluid is not seen it could be absent given the lack of augmentation.Marrow signal is intact throughoutBICEPS TENDON: No significant abnormality noted. ADDITIONAL
Mild tendinosis of the supraspinatus with undersurface fraying as well as changes of the superior labrum suggesting probable SLAP tear difficult to confirm in the absence of an augmented exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.