Left shoulder pain after fall ROTATOR CUFF: There is increased signal and thickening of the supraspinatus tendon reflecting moderate tendinosis. There is separation of the anterior fibers of the distal supraspinatus tendon at its insertion reflecting tear of the bursal surface fibers. The articular surface fibers may be intact. There is no evidence of retraction and the supraspinatus muscle is normal.There is mild tendinopathy of the distal infraspinatus tendon however there is no evidence of tear. The infraspinatus muscle is normal.The teres minor tendon and muscle are normal.There is mild insertional tendinosis of the subscapularis tendon without evidence of tear. The subscapularis muscle is normal.SUPRASPINATUS OUTLET: There is severe acromioclavicular arthrosis. Fluid is noted within the subdeltoid bursa anterior to the region of the supraspinatus tear. The glenohumeral joint demonstrates mild osteoarthritic changes.GLENOHUMERAL JOINT AND GLENOID LABRUM: The labrum appears normal for the patient's age. A small amount of joint fluid is present but there is no sizable effusion. Mild osteoarthritis affects the joint.BICEPS TENDON: There is mild tendinosis of the biceps tendon at the rotator interval without evidence of tear.
Rotator cuff tendinosis with focal tearing of the anterior insertional fibers of the supraspinatus tendon. There is no retraction or atrophy of the supraspinatus muscle. There is no evidence of additional rotator cuff tendon tear; additional findings of the shoulder are described above.