Reason: pain History: pain ROTATOR CUFF: There is minimal heterogeneity of the supraspinatus tendon suggesting mild tendinosis, but we see no discrete tear. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. The teres minor muscle and tendon appear intact. There is increased signal intensity along the deep fibers of the subscapularis tendon likely representing a combination of tendinosis and undersurface tearing, but we see no full-thickness subscapularis tear. There is perhaps mild fatty atrophy of the superior fibers of the subscapularis muscle. There are foci of signal abnormality within the lesser tuberosity which are likely degenerative in etiology.SUPRASPINATUS OUTLET: Mild to moderate osteoarthritis affects the acromioclavicular joint. There is no fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Mild osteoarthritis affects the glenohumeral joint. There is a small amount of fluid within the glenohumeral joint extending into the subscapular recess. There is poorly defined intermediate signal intensity within the joint, anteriorly, which may represent a synovitis. There is mild degeneration of the anterior superior labrum, but otherwise the labrum appears normal for age.BICEPS TENDON: The tendon of long head of the biceps appears perched on the lesser tuberosity, suggesting pulley dysfunction and its margins are irregular within the proximal bicipital groove indicating partial thickness tearing.ADDITIONAL
1. Undersurface degeneration and tearing of the subscapularis tendon. There is also partial thickness tearing of the long head of the biceps tendon which appears perched on the lesser tuberosity, suggesting pulley dysfunction.2. Osteoarthritis of the acromioclavicular and glenohumeral joints. Other findings as described above.