56-year-old female with pain. Evaluate for cuff tear after fall. ROTATOR CUFF: There is mild tendinosis of the supraspinatus tendon. There is also a small 2 to 3 mm focus of relatively increased signal intensity within the supraspinatus tendon at its insertion, likely representing a concealed insertional tear. There is also mild irregularity of the bursal surface of the tendon suggesting fraying. There are small cysts in the humeral head at the insertion of the infraspinatus tendon, but the tendon and muscle itself appear normal. The teres minor muscle and tendon appear intact. The subscapularis muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is mild osteoarthritis of the acromioclavicular joint. No fluid is identified within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is minimal increased signal intensity within the superior labrum which may reflect degeneration, but we see no evidence of a labral tear, given the limitations of a non arthrogram study. There is no glenohumeral joint effusion.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is a small amount of circumferential fluid within the tendon sheath of the long head of the biceps which may represent fluid extension from the joint. ADDITIONAL
Mild supraspinatus tendinosis and bursal surface fraying and probable concealed insertional tear with other findings as described above.