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There is an avulsion fracture of the lesser tuberosity of the humeral head with about 4 mm displacement. The subscapularis tendon shows a normal echo pattern. The biceps long head tendon is normal in position with a normal echo pattern and without tenosynovitis. The supraspinatus tendon is intact with few areas of loss of normal echo pattern favoring tendinosis. The infraspinatus tendon is normal. The supraspinatus and infraspinatus muscle bellies show normal bulk without fatty infiltration. There is a mild capsular thickening of the acromioclavicular joint.