59-year-old female with left shoulder pain and limited range of motion Please note that images are suboptimal due to patient body habitus.ROTATOR CUFF: There is high-grade articular surface partial thickness tearing with regions of full-thickness tearing involving the anterior supraspinatus tendon and posterior fibers of the subscapularis tendon approximately 1 cm from the supraspinatus insertion measuring approximately 1.8 cm in AP dimension. A small amount of fluid is seen in the subacromion subdeltoid bursa. The remaining supraspinatus tendon has diffuse increased T2 signal suggesting tendinopathy. Teres minor and infraspinatus tendons are intact. There is mild generalized atrophy.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: No abnormal marrow edema. The glenoid labrum is grossly intact. There may be mild thickening of the inferior glenohumeral ligament. Small osteophytes are present.BICEPS TENDON: Biceps tendon is intact. ADDITIONAL
1.Full-thickness tear of the supraspinatus and subscapularis tendons.2.Thickening of the inferior glenohumeral ligament may be secondary to synovitis or fibrosis.