There is an encapsulated fluid abutting cranial aspect of the acromioclavicular joint. It is not compressible. There are tiny echoes within. It measures about 40 x 31 x 20 mm. There is non-visualization of supraspinatus, infraspinatus, biceps long head and subscapularis tendons. However, teres minor tendon is intact. There are gross atrophy and fatty infiltration of supraspinatus and infraspinatus tendons. There is the presence of the bursal effusion.