Rule-out ligamentous tear versus osteoarthritis. Pain ROTATOR CUFF: Marked atrophy of the supraspinatus and subscapularis with associated complete tendonous full-thickness tear with associated marked retraction. Fibers of the infraspinatus are observed to insert with only mild tendinopathy. Teres minor is grossly intactSUPRASPINATUS OUTLET: Bone-on-bone narrowing superiorly with moderate superimposed osteoarthritic changes with a mildly downward sloping acromion.GLENOHUMERAL JOINT AND GLENOID LABRUM: The labra is grossly intact in the absence of an augmented exam. Extensive degenerative changes including scattered subchondral cysts, osteophytes and cortical thickening/irregularity.BICEPS TENDON: The biceps tendon is grossly intact yet not well visualized. Central signal suggest a longitudinal intrasubstance tear with mild to moderate tendinopathy.ADDITIONAL
Extensive marked rotator cuff tear involving the supraspinatus and subscapularis along with changes of the biceps tendon and other less pronounced changes. See detail provided.