Right shoulder pain ROTATOR CUFF: Again seen are complete tears of the supraspinatus and infraspinatus tendons with retraction to the level of the glenohumeral joint. There is mild fatty atrophy of the supraspinatus muscle with marked fatty atrophy of the infraspinatus muscle. The teres minor tendon and muscle are intact. There is high-grade partial-thickness tearing of the insertional fibers of the subscapularis tendon. The subscapularis muscle appears relatively preserved.SUPRASPINATUS OUTLET: Severe osteoarthritis affects the glenohumeral joint. There is a small amount of fluid in the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The humeral head is high riding and there is degenerative cystic change at the insertion of the rotator cuff. There is mild articular cartilage loss of the humeral head and osteoarthritis of the glenohumeral joint. There is degenerative tearing of the anterior labrum both superiorly and inferiorly. There is a small amount of joint fluid present.BICEPS TENDON: Evaluation of the biceps tendon is limited given the internally rotated nature of the patient however the intra-articular portion of the biceps tendon is not well seen likely the result of tearing. There is a small amount of fluid surrounding the biceps tendon which may reflect mild tenosynovitis.ADDITIONAL
1. Full-thickness tears of the supraspinatus and infraspinatus tendon and high-grade partial-thickness tearing of the subscapularis tendon.2. Severe osteoarthritis of the glenohumeral joint.3. Degenerative tearing of the labrum.4. Probable partial tearing of the long head of the biceps tendon.