Pain in right shoulder. Possible rotator cuff tear. Multiple sequences are limited by patient motion artifact.ROTATOR CUFF: Fluid signal intensity separates the anterior fibers of the distal supraspinatus tendon from its insertion on the greater tuberosity, indicating a non-retracted insertional tear. The tear appears to involve the majority of the thickness of the tendon, with disruption of the bursal surface fibers, but possible sparing of the articular surface fibers. We estimate the tear is just under 1 cm in AP dimension. There is thickening and intermediate signal intensity of the remaining supraspinous tendon, indicating mild to moderate tendinosis. The supraspinatous muscle appears normal. Mild tendinosis affects the infraspinatus tendon, with otherwise normal appearance. The infraspinatus muscle, subscapular muscle and tendon, as well as the teres minor muscle and tendon, appear normal.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. Small amount of fluid is identified within the subacromial/subdeltoid bursa, likely secondary to aforementioned supraspinatus tear. GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint contains a small amount fluid, but no effusion is identified. Evaluation of the labrum is limited due to motion artifact and lack of intra-articular contrast. Intermediate signal intensity is identified within the superior labrum, likely reflecting degenerative changes. BICEPS TENDON: The tendon of the long head of the biceps is normal, given aforementioned limitations. ADDITIONAL
1. Insertional tear of the supraspinatus, as described above. 2. Additional degenerative changes, as described above.