Reason: right shoulder pain History: right shoulder pain ROTATOR CUFF: There is a full-thickness near-complete/complete tear of the supraspinous tendon with retraction of fibers to the level of the glenohumeral joint. A few anterior fibers may extend to the greater tuberosity, but this is equivocal. There appears to be mild loss of supraspinatus muscle volume. There is also a complete tear of the infraspinatus tendon with similar retraction as well as moderate fatty atrophy of the infraspinatus muscle. There is moderate fatty atrophy of the teres minor muscle, although the tendon appears to extend to its insertion on the greater tuberosity. Mild thickening of the distal subscapularis tendon suggests tendinosis with a small linear undersurface tear of its superior fibers. The subscapularis muscle appears intact.SUPRASPINATUS OUTLET: Mild osteoarthritis of the acromioclavicular joint, with hypertrophy of the distal end of the clavicle. There is a small amount of fluid in the subacromial bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The humeral head is high riding with slight posterior translation relative to the glenoid. There is subchondral cyst formation in the posterior aspect of the glenoid. Intermediate signal intensity and fluid undercuts the anterior labrum, suggesting a partial tear. There is attenuation of the posterior superior labrum, suggesting a tear. A small collection of fluid signal intensity along the posterior glenoid scapula neck may represent a paralabral cyst. There are a few ossicles within the superior aspect of the glenohumeral joint, suggestive of loose bodies, perhaps attached to the distal end of the torn rotator cuff.BICEPS TENDON: There is mild increased signal intensity within the tendon of the long head of the biceps at its transition from the rotator interval to the intertubercular groove.
Full-thickness retracted rotator cuff tear and other findings as described above.