Left shoulder pain, possible rotator cuff/biceps pathology. ROTATOR CUFF: There is thickening with increased signal intensity indicating moderate tendinosis of the supraspinatus tendon with mild undersurface fraying. There is also focal linear increased signal intensity within the tendon extending to the insertion which may represent interstitial tearing, but we see no full thickness tear. The supraspinatus muscle is normal for age. There is mild to moderate insertional tendinosis of the infraspinatus muscle and perhaps a thin interstitial tear more proximally, but we see no surface tear. There is mild fatty atrophy along the myotendinous junction of the infraspinatus muscle. The teres minor muscle and tendon is intact. There is perhaps mild tendinosis of the subscapularis tendon but otherwise the muscle and tendon appear normal for age.SUPRASPINATUS OUTLET: There is mild to moderate osteoarthritis of the acromioclavicular joint with anteroinferior spurring of the acromion process. There is trace fluid in the subacromial/subdeltoid bursa. The coracoacromial ligament appears normal. The coracohumeral ligament appears slightly thickened.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is within normal limits. There is a small glenohumeral joint effusion. There is increased signal intensity within the labrum both anteriorly and posteriorly which likely represents degeneration/tearing.BICEPS TENDON: There is increased signal intensity within the intra-articular portion of the long head of the biceps indicating mild tendinosis. Fluid within the biceps tendon sheath likely represents extension of fluid from the glenohumeral joint. ADDITIONAL
1. Edema within the greater tuberosity that is suspicious for a healing nondisplaced fracture.2. Rotator cuff tendinosis and interstitial tearing as described above without full thickness tear.3. Mild tendinosis of the long head of the biceps tendon.4. Osteoarthritis of the acromioclavicular joint and the labral degeneration/tearing as described above.5. Small glenohumeral joint effusion as well as fluid in the subcoracoid bursa suggesting bursitis.