Reason: pain History: pain ROTATOR CUFF: There is a full-thickness tear of the supraspinatus at the level of its insertion on the greater tuberosity measuring approximately 18 mm in the AP dimension. There is minimal retraction. There is extension of this tear posteriorly to involve the anterior fibers of the infraspinatus. There is mild fatty atrophy of the supraspinatus. The infraspinatus muscle appears intact. There is thickening and intermediate signal intensity of the supraspinatus indicating mild tendinosis. There is increased intermediate signal intensity within the articular surface fibers of the subscapularis at the level of its insertion which may represent focal tendinosis or undersurface fraying. No full-thickness tear is evident. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa. Additionally note is made multiple round foci of decreased signal abnormality within the bursa on both T1 and T2-weighted images corresponding to the foci of ossification seen in recent radiographs. These findings likely represent loose bodies, with the largest measuring 14 mm in its largest diameter, situated along the anterior aspect of greater tuberosity. Mild osteoarthritis affects the acromioclavicular jointGLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Mild osteoarthritis affects the glenohumeral joint.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 joint versus a very mild tenosynovitis. ADDITIONAL
Full-thickness tear of the rotator cuff with minimal retraction. Multiple loose bodies within the subacromial subdeltoid bursa as described above. Other findings as described above.