Left shoulder pain. ROTATOR CUFF: There is a full-thickness insertional tear of the anterior fibers of the supraspinatus with less than 1 cm of retraction. The tear is approximately 1cm in AP dimension. Additionally, there is thickening and increased signal intensity of the tendon more proximally suggesting tendinosis. The supraspinatus muscle is unremarkable. The infraspinatus tendon and muscle as well as the teres minor tendon and muscle are within normal limits. Increased signal intensity in the distal fibers of the subscapularis tendon suggesting tendinosis, but no discrete tear is evident. The muscle appears normal.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. A small amount of fluid is noted within the subacromial-subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is trace fluid in the glenohumeral joint, without frank effusion. Given the limitations of a non-arthrogram study, the glenoid labrum appears normal.BICEPS TENDON: Given the limitations of a non-arthrogram study, the long head of the biceps appears normal.
1.Rotator cuff tendinosis with full-thickness insertional tear of the anterior fibers of the supraspinatus, as described above.2.Osteoarthritis affects the acromioclavicular joint.