Female 69 years old Reason: diminished ROM History: pain in the shoulder. ROTATOR CUFF: There is a full thickness tear of the distal fibers of the supraspinatus tendon, with retraction of the tendon fibers to beneath the distal clavicle. The tear measures approximately 1.0 cm in the AP dimension. There is mild to moderate fatty atrophy of the supraspinatus muscle. Mild tendinosis affects the infraspinatus tendon with possibly a small undersurface tear at its insertion. There is minimal fatty atrophy along the myotendinous junction. The teres minor tendon and muscle appear normal. There is thickening and increased signal intensity of the distal subscapularis tendon indicating tendinosis and, perhaps, undersurface fraying at its insertion. The subscapularis muscle appears normal.SUPRASPINATUS OUTLET: There is mild to moderate osteoarthritis of the acromioclavicular joint. There is a small amount of fluid in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. There is a small amount of fluid in the glenohumeral joint with extension into the subscapularis recess. There is also fluid anterior to the subscapularis tendon, suggesting a subcoracoid bursitis. The glenoid labrum appears normal for age. Mild osteoarthritis affects the glenohumeral joint.BICEPS TENDON: There is increased signal intensity within the tendon of the long head of the biceps compatible with mild tendinosis. The tendon also appears perched on the lesser tuberosity, which may reflect pulley dysfunction. There is a small amount of fluid in the biceps tendon sheath of questionable significance.
1.Full thickness tear of the supraspinatus tendon and an additional rotator cuff tendinosis as described above.2.Degenerative arthritic changes of the acromioclavicular and glenohumeral joints.3.Tendinosis of the long head of the biceps and other findings as described above.