Reason: eval for rotator cuff tear History: shoulder pain for months with mild adhesive capsulitis. ROTATOR CUFF: Mild intermediate signal intensity along the undersurface fibers of the supraspinatus tendon near its insertion may reflect fraying, but we see no discrete fluid signal tear. The supraspinatus muscle appears normal. The infraspinatus tendon and muscle appear normal. The teres minor muscle and tendon appear normal. Minimal increased signal intensity within the subscapularis tendon may reflect mild tendinosis but we see no discrete tear. The subscapularis muscle appears normal.SUPRASPINATUS OUTLET: Minimal increased signal intensity within the anterior aspect of the subdeltoid bursa could conceivably reflect mild inflammation but we see no frank fluid.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. The articular cartilage is within normal limits. Although we see no fluid signal intensity entering the glenoid labrum, intermediate signal intensity within the superior labrum is suggestive of a tear, which possibly extends into the biceps anchor. Mild increased signal intensity within the anterior inferior labrum may reflect degeneration, but we see no fluid-filled tear. No joint effusion.BICEPS TENDON: Other then the possible aforementioned SLAP tear, the long head of the biceps tendon is unremarkable.ADDITIONAL
1.Possible mild tendinosis/fraying of the rotator cuff as described above, but we see no discrete rotator cuff tear.2.Possible mild inflammation of the subdeltoid bursa anteriorly.3.Although no fluid enters the glenoid labrum, intermediate signal intensity within the superior labrum is suggestive of a tear with possible extension into the biceps anchor.4.Slight thickening of the coracohumeral ligament with partial replacement of the adjacent fat, which has been described in patients with adhesive capsulitis.