Cervicalgia. Rule out cuff tear. Evaluation of the shoulder is limited on some sequences due to patient motion artifact.ROTATOR CUFF: There is thickening of the supraspinatus and infraspinatus tendons indicating tendinosis. Best seen on coronal oblique image 13 of series 4 is high signal intensity within the distal fibers of the supraspinatus tendon 1 cm proximal to its insertion on the greater tuberosity, indicating a tear. The tear disrupts the bursal surface fibers of the tendon and extends through the majority of the tendon thickness; however, I cannot ascertain with certainty if this is a full-thickness tear or a high-grade bursal surface tear. The tear appears to be less than 1 cm in diameter, and results in approximately 5 mm of retraction of the bursal surface fibers. The supraspinatus muscle is within normal limits. There is mild fatty atrophy along the myotendinous junction of the infraspinatus muscle. The teres minor tendon and muscle appear intact. The subscapularis tendon can be followed to its insertion on the lesser tuberosity. Focal intermediate signal intensity along its undersurface fibers may reflect fraying. The subscapularis muscle is within normal limits. SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint and there is mild spurring of the anterior aspect of the acromion. There is a small amount of fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. There is a small amount of fluid within the glenohumeral joint. Evaluation of the glenoid labrum and articular cartilage of the glenohumeral joint is limited by patient motion artifact. I see no fluid-filled labral tears, although intermediate signal intensity within the superior labrum likely reflects degenerative tearing.BICEPS TENDON: Mild increased signal intensity centrally within the intra-articular portion of the tendon of long head of the biceps may reflect mild degeneration, but I see no tear of the tendon. There is a small amount of fluid surrounding the tendon as it courses down the intertubercular groove which could represent a mild tenosynovitis or simply extension of fluid from the glenohumeral joint. ADDITIONAL
1.Limited study due to patient motion artifact.2.Rotator cuff tendinosis as described above with a focal full-thickness or high-grade bursal surface tear of the supraspinatus.3.Degenerative arthritic changes as described above.4.Fluid anterior to the subscapularis muscle may reflect subcoracoid bursitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.