Right shoulder impingement ROTATOR CUFF: There is articular surface fraying of the supraspinatus tendon with superimposed tendinosis but there is no evidence of full-thickness tear. The remaining rotator cuff tendons are intact. There is mild fatty atrophy of the infraspinatus muscle but the remaining rotator cuff musculature is intact.SUPRASPINATUS OUTLET: There is moderate osteoarthritis of the acromioclavicular joint. No significant fluid is identified within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is severe osteoarthritis of glenohumeral joint with subchondral cystic change along both the glenoid and humeral head with a large humeral head osteophyte. There is deformity of the superior labrum suggesting tearing. Additionally, there is flattening of the posterolateral aspect of the humeral head which may represent a Hill-Sachs deformity from prior dislocation.BICEPS TENDON: Evaluation of the biceps tendon is limited given the internal rotation of the patient. Within these limits, the intra-articular portion of the biceps tendon is poorly visualized which may suggest tearing.ADDITIONAL
1. Severe osteoarthritis of the glenohumeral joint with moderate changes of the acromioclavicular joint.2. Fraying and tendinosis of the supraspinatus tendon without evidence of full-thickness rotator cuff tear.3. Poor visualization of the biceps tendon which may in part be positional in nature but is also concerning for at least partial tearing.