62-year-old male with continued left shoulder pain despite injections. ROTATOR CUFF: There is a full-thickness near complete tear of the supraspinatus tendon with retraction of the proximal tendon by approximately 3 cm. There is mild atrophy of the supraspinatus. There is thickening and intermediate signal intensity within the infraspinatus tendon indicating moderate tendinosis. There is partial thickness tearing of the anterior fibers of the infraspinatus at the level of its insertion on the greater tuberosity. There is interstitial tearing of the infraspinatus at the level of the myotendinous junction. There is mild fatty infiltration along the myotendinous junction of the infraspinatus. There is partial thickness undersurface tearing of the subscapularis tendon. There is mild fatty atrophy of the subscapularis muscle. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: Mild to moderate degenerative changes affect the acromioclavicular joint with subchondral cyst formation. There is a small amount of fluid identified within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality affecting the superior and anterior glenoid labrum consistent with degenerative tearing.BICEPS TENDON: There is a longitudinal split tear affecting the intra- and extra-articular portion of the long head of the biceps tendon. ADDITIONAL
1. Full-thickness near complete tear of the rotator cuff with retraction as described above. 2. Degenerative tearing of the glenoid labrum. 3. Longitudinal split tear of the long head of the biceps tendon as described above.