Reason: Right shoulder pain, no improvement with NSAIDS, injection and therapy. Evaluate for rotator cuff tear History: Right shoulder pain ROTATOR CUFF: Increased signal intensity of the undersurface fibers of the supraspinatus tendon indicating partial thickness tearing involving approximately 50% of tendon thickness. The tear extends from the tendon insertion on the greater tuberosity approximately 2 cm proximally. There is degenerative cyst formation in the underlying humeral head and greater tuberosity. The tear extends 2 centimeter in AP dimension and involves to anterior fibers of the infraspinatus with underlying degenerative cyst formation. Subscapularis tendon and teres minor tendon are intact. There is no significant rotator cuff muscle atrophy. SUPRASPINATUS OUTLET: There are mild degenerative changes of the AC joint. There is trace fluid in the subacromial/subdeltoid bursa, likely physiologic.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is within normal limits. There is degenerative cyst formation of the humerus as described above. There is fluid signal undercutting the superior labrum suggestive of superior labral tear. Intermediate signal abnormality of the anterior labrum may represent extension of this tear. There is a small defect in the superior posterior glenoid cartilage.BICEPS TENDON: The long head of the biceps tendon is normal in location. There is small amount of fluid surrounding the tendon, likely related to joint effusion.ADDITIONAL
1. Partial-thickness undersurface tearing of the supraspinatus tendon.2. SLAP tear of the labrum.3. Mild AC joint osteoarthritis and other findings as above.