Reason: Tear v tendonitis History: Pain > 90 ROTATOR CUFF: There is complete/near-complete tearing of the supraspinatus tendon from its insertion on the greater tuberosity with approximately 1.5 cm of retraction. There also appears to be delamination of the undersurface fibers of the supraspinatus with further retraction to the level of the glenohumeral joint. This tear extends posteriorly to involve the anterior fibers of the infraspinatus and there is interstitial tearing of the tendon more posteriorly. Mild enthesopathic changes are identified along the posterolateral aspect of the humeral head at the infraspinatus insertion. There is thickening and intermediate signal intensity of the infraspinatus indicating tendinosis. There is increased signal intensity within the distal fibers of the subscapularis tendon suggesting tendinosis and high-grade partial thickness insertional tearing of the superior fibers. The supraspinatus, infraspinatus, teres minor, and subscapularis muscles are normal in appearance.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is a small amount of fluid within the joint without evidence of a large effusion. There is intermediate signal intensity within the superior labrum likely representing degeneration and degenerative tearing. Mild osteoarthritis affects the glenohumeral joint.BICEPS TENDON: The tendon of the long head of the biceps appears intact.
Rotator cuff tears and osteoarthritis with other findings as described above.