Pain. Torn cuff? ROTATOR CUFF: There is mild increased signal intensity within the anterior fibers of the supraspinatus tendon at its insertion on the greater tuberosity suggesting tendinosis, but I see no fluid-filled tear of the supraspinatus. The supraspinatus muscle is within normal limits. There is mild heterogeneity of signal of the infraspinatus tendon which may reflect minimal tendinosis, but I see no tear, and the muscle appears normal. The teres minor tendon and muscle appear normal. There is a focal near full-thickness to full-thickness tear of the subscapularis tendon just proximal to its humeral insertion medial to the tendon of the long head of the biceps. This tear is approximately 8 mm in greatest dimension. The subscapularis muscle appears normal.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint with anterior acromial spurring associated with mild impression upon the superior fibers of the supraspinatus muscle. I see no fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Moderate osteoarthritis affects the glenohumeral joint, with cartilage loss posteriorly. There is also tearing of the superior and posterior labrum with formation of small para labral cysts. There is minimal posterior translation of the humeral head with respect to the center of the glenoid. Intermediate signal intensity within the anterior labrum likely reflects degeneration. There is no joint effusion. BICEPS TENDON: The tendon of the long head of the biceps appears slightly thickened within the rotator interval and contains mild increased signal intensity centrally, suggesting mild tendinosis.
1.Focal near-full-thickness to full-thickness tear of the insertional fibers of the subscapularis.2.Osteoarthritis and labral tearing.3.Other findings as described above.