Left shoulder pain ROTATOR CUFF: There is partial articular tearing of the supraspinatus tendon at its insertion upon the greater tuberosity which measures approximately 8 mm in the AP dimension. This is superimposed upon mild tendinosis of the supraspinatus tendon. Additionally, there is mild insertional tearing and tendinosis of the subscapularis. The teres minor and infraspinatus tendons are intact. The rotator cuff musculature is relatively preserved in caliber although there is perhaps minimal fatty atrophy along the myotendinous junction of the supraspinatus, infraspinatus, and teres minor tendons.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. An os acromiale is noted with degenerative changes and mild edema across the articulation. There is no significant subacromial subdeltoid fluid.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild to moderate osteoarthritis affects the glenohumeral joint and there is diffuse degeneration and tearing of the labrum is likely age-related.BICEPS TENDON: There is split tearing of the intra-articular portion of the long head of the biceps tendon. Its proximal portion is partially perched on the greater tubercle possibly reflecting a split tear of the distal subscapularis tendon.ADDITIONAL
1. Partial articular surface tearing of the supraspinatus tendon at its insertion which appears slightly progressed from an exam dated 3/17/2011. There is additional insertional tearing/tendinosis of subscapularis tendon but there is no evidence of a full-thickness rotator cuff tear.2. Osteoarthritis of the glenohumeral and acromioclavicular joints with mild degenerative change across an os acromiale.3. Split tearing of the intra-articular portion of the long head of the biceps tendon.4. Diffuse degeneration and tearing anterior labrum which is likely age-related.