80 year old male with a history of prostate cancer presents with shoulder pain. ROTATOR CUFF: There is a full-thickness tear of the supraspinatus tendon at the level of its insertion on the greater tuberosity measuring approximately 13 mm in the AP dimension. The supraspinatus tendon is thickened with associated increased signal abnormality consistent with moderate tendinosis. There is approximately 11 mm of retraction of the supraspinatus tendon. There is mild undersurface fraying of the anterior fibers of the infraspinatus tendon. No full-thickness or near full-thickness tearing of the infraspinatus tendon or muscle is identified. The teres minor muscle and tendon appear intact. There is thickening with increased signal abnormality within the subscapularis tendon consistent with moderate tendinosis. The muscle belly of the subscapularis muscle is within normal limits.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid space.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a small amount of fluid within the glenohumeral joint. Although this examination was not protocoled for examination of the glenoid labrum, there is mild increased signal intensity within the superior glenoid labrum consistent with labral fraying/SLAP type I tear. There are mild degenerative arthritic changes affecting the glenohumeral and acromioclavicular joints.BICEPS TENDON: A small amount of fluid is identified along the long head of the biceps tendon which may reflect tenosynovitis versus fluid extension from the glenohumeral joint. ADDITIONAL
Full-thickness tear of the supraspinatus tendon and other findings, as described above. No enhancing mass lesions or evidence of metastatic disease, as clinically questioned.