Reason: Right rotator cuff tear History: Right shoulder pain ROTATOR CUFF: There is partial thickness tearing of the articular surface fibers of the supraspinatus at the level of its insertion on the greater tuberosity, involving less than 50% of the tendon width, measuring approximately 8 mm in AP dimension. There is no significant retraction. There is increased signal abnormality within the infraspinatus indicating tendinosis. There is undersurface fraying of the teres minor at the level of its insertion on the greater tuberosity. There is interstitial tearing of the subscapularis at the level of its insertion on the greater tuberosity. There is mild fatty atrophy of the infraspinatus at the level of the myotendinous junction.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Moderate degenerative changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Moderate to severe degenerative changes affect the glenohumeral joint with large portions of the glenoid completely devoid of articular cartilage. There is underlying subchondral cyst formation. There is linear increased signal abnormality traversing the posterior labrum which extends to involve the articular cartilage of the glenoid, indicating a tear (glenolabral articular disruption), within the limitations of this non arthrogram study. There is heterogeneity and increased signal abnormality within the superior and inferior labrum also consistent with degeneration/degenerative tearing.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is circumferential fluid within the tendon sheath of the long head of the biceps which may represent fluid extension from the glenohumeral joint versus a tenosynovitis.ADDITIONAL
1. Partial thickness tearing of the supraspinatus and interstitial tearing of the subscapularis without evidence of a full-thickness rotator cuff tear or retraction.2. Osteoarthritis of the right shoulder including full-thickness articular cartilage degeneration and tearing of the glenoid labrum as described above.3. Loose bodies within the joint and tendon sheath of the long head of the biceps.4. Findings suggestive of a tenosynovitis involving the long head of the biceps tendon.