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There is an avulsion fracture of the tip of the coracoid process. The avulsed fragment lies lateral to the coracoid, suggesting the pull is from the coracohumeral ligament. No underlying osseous lesion at the coracoid tip appreciated. No other fracture identified. The humeral head is enlocated. High riding humeral with changes at the greater tuberosity in keeping with chronic rotator cuff tendinopathy.