Reason: cuff tear? History: pain ROTATOR CUFF: There is a partial-thickness articular surface tear of the supraspinatus at the level of its insertion on the greater tuberosity measuring approximately 4 mm in AP dimension. There is no significant retraction. There is thickening and signal intensity within the supraspinatus indicating moderate tendinosis. The infraspinatus muscle and tendon appear intact. There is undersurface fraying of the subscapularis. There is a focus of low signal intensity within the subscapularis just proximal to its insertion on the lesser tuberosity suggestive of calcific tendinopathy. The subscapularis muscle appears intact. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality within the anterior inferior labrum suggestive of degeneration.BICEPS TENDON: The tendon of the long head of the biceps appears intact. ADDITIONAL
1. Tendinosis and small insertional tear of the supraspinatus without evidence of a full-thickness rotator cuff tear or retraction.2. Calcific tendinopathy of the rotator cuff as described above.3. Osteoarthritis of the right shoulder. Other findings as described above.