Pain of the left shoulder ROTATOR CUFF: There is increased signal intensity of the anteriormost fibers of the supraspinatus tendon proximal to its insertion at the greater tuberosity. This likely represents anterior edge fraying. There is an additional focus of intermediate signal intensity in the supraspinatus at its attachment to the greater tuberosity, which may represent focal tendinosis. We see no fluid-filled full-thickness rotator cuff tear. There is no significant supraspinatus muscle atrophy. Infraspinatus, subscapularis, and teres minor tendons and muscles appear normal.SUPRASPINATUS OUTLET: Mild to moderate osteoarthritis affects the AC joint. GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. There is mild degenerative cyst formation in the humeral head. Within the limitation of non-arthrogram study, the labrum appears normal.BICEPS TENDON: No significant abnormality noted.
1. Mild to moderate osteoarthritis of the AC joint appearing similar to prior study.2. Mild fraying of the anterior surface of the supraspinatus tendon as it courses along the rotator interval, but no full-thickness rotator cuff tear is present.