I think that low signal stuff int he suprapatellar recess could be prominent synovium. I'm sometimes careful to use the synovitis, because it implies an inflammation and totally depends on who ordered the study. Some primary care doc or PA may get super worried and call you and ask about what they should do next etc. Technically you'd need contrast to get a better idea of synovitis etc. They also could be prominent synovial folds, but I feel like synovial folds are typically just a single fold that is thick and long, and this stuff is less organized and more in thin strands. I think this person has a decent amount of partial thickness cartilage loss mainly at the patella. That could be from various things; just by looking, it doesn't seem like they have obvious patellar maltracking morphology.

I think this is a full-thickness tear mainly involving the anterior infraspinatus tendon but also some of the posterior suprapsinatus junctional fibers. I don't see how you could find any intact bursal or articular surface fibers. Definitely some underlying tendinosis. What further suggests this is more so infraspinatus is that there is already some degree of muscle bulk loss and infiltration into the infraspinatus, not much elsewhere. I agree the humeral head cysts are related to traction enthesopathy, particularly related to the infraspinatus, also noting there is some intrasubstance fluid/cyst formation dissecting into the infraspinatus muscle.

I really appreciate the conversation around speed, as it almost seems taboo to discuss openly, but we all feel the pressure to read faster everyday. In fact, the pressure to read faster may be the single most pervasive feeling for radiologists. Events like the radiology olympics are a fun way to explore this topic in a safe environment. Dr. Agten's discussion and approach to the topic of speed is a welcome (and necessary) dialogue. Thank you @Christoph Agten. However, 150 MR cases a day is absolutely absurd in any setting. I can read about 50-60 cross-sectional plus 40-50 radiographs on a fast day, which includes some straightforward easy/normal knee and shoulder cases as well as some pre-operative CT cases, which are a breeze. We do have a decent amount of complex joints, such as hands and thumbs, and lots of postoperative cases and a few tumors here and there. All of that makes for an interesting and variable case load, but obviously does slow us down. I also get many phone calls throughtout the day, including questions about protocols and prior cases (even some from patients :)). Our fastest reader can probably read upwards of 60-70 xsectional cases per day, but he misses a decent amount. So, to reiterate, 150 MR is absurd and completely dangerous and in fact, I don't believe it. I'm still early in my career, but I've reached a point where I'm more interested in increasing speed via things like improving hanging protocols, faster access to priors, and better ergonomics, etc. In that regard, I'd like to start a discussion about what technology people use to improve their speed. What desk and microphone setup do you use and what are some tools you use to help your speed and comfort while reading?

Fantastic lecture. Makes me re-think how I read the hip.

Given the location, I'd initially think this is an anchor from prior biceps tenodesis. But this doesn't really look like an anchor. If no prior surgical history, then it's probably an intraosseous cyst or some fibro-osseous lesion. Not aggressive or concerning in my opinion.