There is localised marrow oedema over the posterosuperior aspect of the humeral head consistent with a Hill-Sachs lesion.
There is a tear involving the anterior labrum. The tear extends between 2 o'clock and 5 o'clock positions. There is a fluid signal intensity cleft between the detached labroligamentous complex and the anterior lip of glenoid. The fluid filled cleft is seen to extend along the anterior surface of the glenoid consistent with periosteal stripping. No displacement of the labroligamentous complex is noted. The appearance is consistent with Perthes lesion.
There is involvement of the adjacent glenoid cartilage (GLAD).
The adjoining middle glenohumeral ligament appears thickened and hyperintense and is likely torn.
There is significant thickening and hyperintensity of the anterior and posterior bands of the inferior glenohumeral ligament. Localised soft tissue edema is identified adjacent to the humeral attachment of the posterior band of the inferior glenohumeral ligament consistent with a capsular tear (HAGL). Subtle hyperintensity is also seen in the inferior glenohumeral ligament at its glenoid attachment.
Mild glenohumeral joint effusion is identified with fluid in the subscapularis recess.
There is a partial thickness bucket-handle tear involving the superior labrum between 11 and 12 o'clock positions. The biceps anchor appears intact.
The posterior labrum is normal.
The supraspinatus tendon shows diffuse hyperintensity close to its insertion consistent with tendinosis/contusional oedema.