Reason: assess for rotator cuff tear History: left shoulder pain. ROTATOR CUFF: The supraspinatus tendon and muscle appear normal. The infraspinatus tendon and muscle appear normal. The teres minor tendon and muscle appear normal. There is mild increased signal intensity within the distal fibers of the subscapularis tendon, which may reflect insertional tendinosis, but the muscle appears normal.SUPRASPINATUS OUTLET: There is minimal inferior spurring of the acromion process and perhaps minimal impression upon the superior fibers of the supraspinatus tendon of questionable significance. No fluid is present within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: No joint effusion. There is attenuation of the anterior superior labrum, but this may not be of any clinical significance. Otherwise, given the limitations of a non-arthrographic study, the glenoid labrum is unremarkable. Glenohumeral joint alignment is normal. The articular cartilage is within normal limits.BICEPS TENDON: Given the limitations of a non-arthrographic study, the tendon of the long head of the biceps appears normal.ADDITIONAL
1.Possible mild insertional tendinosis of the subscapularis tendon, but we see no discrete rotator cuff tear.2.Subjectively, the anterior inferior capsular structures appear slightly thickened, but clinical significance of this is uncertain.3.Minimal spurring of the inferior aspect of the acromion process and perhaps minimal impression upon the superior fibers of the supraspinatus tendon of questionable significance.