SYMPTOMS: The patient presented with shoulder pain and described a “clicking” and pain with movement. Upon physical examination, the patient exhibited a limited range of motion when compared to the unaffected shoulder. There was also an audible clicking sound demonstrated during range of motion examination. The orthopedist referred the patient for 3T MRI of the shoulder with arthrography (an injection of dye into the shoulder joint used to enhance visualization of the labrum).


1. Mild medial subluxation of the long head of the biceps tendon at the biceps pulley.

2. Prominent anterior acromial enthesophyte with secondary supraspinatus tendinosis.

3. Labral irregularities.

4. Infraspinatus tendinosis.