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Impingement of the subscapularis tendon between the coracoid process and the lesser tubercle of the humeral head. Signs of subscapularis tendinosis, medial dislocation of the long head biceps tendon, which also seems to be involved in the impingement. The patient also had subaromial impingement with severe tendinosis of the supra and infraspinatus tendons. Also note the fluid collection in the subcoracoid bursa, an obvious sign of bursitis.