Right shoulder pain ROTATOR CUFF: There is increased signal intensity within the anterior most fibers of the distal supraspinatus tendon at its insertion on the greater tuberosity, indicating an insertional tear. The tear focally involves the majority of the thickness of the tendon but there is no significant retraction and overall, the tear measures approximately 1 cm in the AP dimension. There is no discrete tear of the infraspinatus tendon. The supraspinatus and infraspinatus muscles are normal. The teres minor tendon and muscle are intact. There is mild increased signal intensity of the distal fibers of the subscapularis tendon suggesting tendinosis but we see no discrete tear. The subscapularis muscle is normal.SUPRASPINATUS OUTLET: There is moderate osteoarthritis of the acromioclavicular joint. Fluid is noted within the subacromial subdeltoid bursa containing multiple foci of low signal intensity corresponding to the globular calcific densities seen on the comparison radiographs. An additional focus of low signal intensity is seen anterior to the greater tuberosity and lateral to the long head of the biceps representing additional hydroxyapatite deposition perhaps within the bursa or adjacent soft tissues. Foci of edema-type signal are noted within the greater tuberosity which are likely reactive and degenerative in etiology.GLENOHUMERAL JOINT AND GLENOID LABRUM: The superior labrum is deformed and attenuated compatible with tearing. There is also deformity of the inferior labrum best seen on the coronal oblique sequences which likely represents tearing with adjacent paralabral cysts.BICEPS TENDON: There is intermediate signal intensity within the long head of the biceps tendon as it courses through the rotator interval indicating mild tendinosis.
1. Calcific subacromial subdeltoid bursitis.2. Focal near full-thickness to full-thickness tear of the anterior insertional fibers of the supraspinatus tendon without retraction.3. Moderate osteoarthritis of the acromioclavicular joint.4. Labral tears as described above.