39-year-old female with right shoulder pain and impaired movement, history of myeloma ROTATOR CUFF: The supraspinatus appears normal. There is perhaps mild insertional tendinosis of the infraspinatus with associated cysts within the humeral head, but no discrete tear. There is also mild edema type signal along the myotendinous junction of the infraspinatus which may indicate a mild strain. Teres minor tendon is intact. There is mild intermediate signal intensity within the subscapularis tendon which may indicate a mild tendinosis, however we see no discrete tear or abnormality within the musculature.SUPRASPINATUS OUTLET: There is perhaps mild acromioclavicular joint osteoarthritis. A small amount of fluid is present within the subacromial bursa which is of questionable significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is within normal limits. There is a small amount of fluid within the glenohumeral joint, but no frank effusion. Evaluation of the articular cartilage is limited due to motion and a non-arthrographic study, however there appears to be degeneration of the articular cartilage along the anterior aspect of the glenoid. Given the limitations of a non-arthrographic study, the glenoid labrum appears normal.BICEPS TENDON: The biceps tendon is intact. ADDITIONAL
1.Heterogeneous bone marrow from multiple myeloma2.Mild rotator cuff tendinosis and strain of the infraspinatus, but no full-thickness rotator cuff tear is evident.3.Mild degeneration of the articular cartilage of the glenohumeral joint.4.A small amount of fluid in the subacromial bursa is of questionable significance.