Hyperintensity and mild thinning affecting the bursal surface of the supraspinatus tendon are present. The remainder of the rotator cuff is intact. There is mild diffuse teres minor edema suggesting denervation injury. minimal abnormal fluid is present within the subacromial/subdeltoid bursa. minor hypertrophic changes of the acromioclavicular joint are noted.

No Hill Sachs or bony Bankart fractures are demonstrated. However, complex linear signal extending through the labrum superiorly indicating labral tear is present. The tear propagates to involve the entire anterior labrum and to involve the labrum posterosuperiorly. The tendon of the long head of the biceps is intact. There is no glenohumeral effusion.

 Impression:

1. Supraspinatus tendinosis and mild partial thickness bursal surface tear.
2. Milc AC arthrosis and mild subacromial/subdeltoid bursitis.
3. Superior labral tear with anterior and posterosuperior extension.
4. Mild diffuse teres minor edema suggesting denervation injury.