Shoulder pain The evaluation of the shoulder is limited by metallic susceptibility artifact resulting from a screw within the glenoid. Multiple foci of signal void are also noted within the soft tissues anteriorly reflecting artifact from prior surgery.ROTATOR CUFF: There is linear increased signal within the distalmost fibers of the supraspinatus tendon at its insertion upon the greater tuberosity, representing insertional tearing. This extends along the majority of the thickness of the tendon and probably disrupts the articular surface fibers although the bursal surface fibers appear intact. The tear measures 1.5 cm in the AP dimension and there is no retraction of the tendon. There is mild edema and degenerative cysts within the underlying greater tuberosity. The supraspinatus muscle is normal.There is perhaps minimal insertional tearing of the infraspinatus tendon although there is no evidence of a full-thickness tear. The infraspinatus muscle is normal. The teres minor tendon and muscle are normal. There is perhaps mild insertional tendinosis of the subscapularis tendon without discrete tear. The subscapularis muscle is normal.SUPRASPINATUS OUTLET: There is mild osteoarthritis of the acromioclavicular joint. A trace amount of fluid is noted within the subacromial bursa which is not necessarily of any clinical significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: Evaluation of the glenoid and labrum is limited by susceptibility artifact. There appears to be fragmentation of the anterior labrum with perhaps degenerative fraying of the superior labrum.BICEPS TENDON: No significant abnormality noted.
Limited examination secondary to metallic susceptibility artifact from glenoid screw. There is a near full-thickness rim rent tear of the distal fibers of the supraspinatus tendon without retraction. Other findings are described above.