Male 56 years old Reason: eval for biceps tendon tear, RTC tear History: Popeye deformity ROTATOR CUFF: There is a high-grade bursal surface tear through the anterior fibers of the supraspinatus tendon at its insertion. The tear involves the majority of the tendon thickness but appears to spare the articular surface fibers. The tear is just over 1 cm in dimension and there is minimal retraction. There is additional increased signal intensity within the distal supraspinatus tendon indicating tendinosis and perhaps surface fraying and interstitial tearing. Unremarkable appearance of the supraspinatus muscle. Mild tendinosis of the infraspinatus tendon with interstitial tearing along the myotendinous junction. Mild fatty infiltration of the infraspinatus muscle. Unremarkable appearance of the teres minor muscle and tendon. There is thinning of the subscapularis tendon likely representing attritional subscapularis tendon tearing. There is mild atrophy of the subscapularis muscle.SUPRASPINATUS OUTLET: There is spurring of the anterior aspect of the acromion process as well as a small ossicle noted anterior to the acromion. There is also slight lateral downsloping of the acromion process. There is a small amount of fluid in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Normal alignment of the glenohumeral joint. Evaluation of the labrum is limited by patient motion. The inferior labrum is grossly intact. Apparent detachment of the anterosuperior labrum from the underlying glenoid may represent normal variant sublabral foramen. Compared to the remainder of the labrum, the posterosuperior labrum is poorly defined which may reflect degeneration or a prior SLAP tear.BICEPS TENDON: Superiorly the bicipital groove appears empty. Although evaluation of the biceps tendon is limited by motion we don't clearly see the biceps tendon within the rotator interval. More distally there is a thin low signal intensity structure within the bicipital groove that we assume represents the torn and retracted tendon. MRI HUMERUS:
1. Findings compatible with a tear of the proximal long head of biceps tendon.2. Partial thickness rotator cuff tears and tendinosis as described above.3. Distal biceps tendon intact as described above.4. Other findings as described above