45M with chronic worsening shoulder pain and clicking, MR arthrogram


There is articular and bursal fraying with intrasubstance bright PDFS signal proximal to the insertion of the mid-posterior supraspinatus tendon

Contrast is imbibed into the tendon over the same segment, but does not extend into the bursa
There is a chronic superior labral tear

Same non insertional changes in the mid-posterior supraspinatus tendon

There’s also diffuse tear at the base of the anterior labrum with cartilage thinning of the anteroinferior glenoid

Would you report this as non-insertional high grade partial tear?
Tendinosis?
Tendinosis with interstitial tearing?

I’m curious what a surgeon would think about this

Hilary

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