68-year-old female with right shoulder pain. Evaluate for rotator cuff tear. ROTATOR CUFF: There is a high-grade bursal surface tear of the anterior fibers of the supraspinatus tendon involving greater than 50% of the tendon width, measuring approximately 14 mm in AP dimension. There is minimal (4 mm) retraction. Moderate tendinosis affects the remainder of the supraspinatus tendon. The supraspinatus muscle appears intact. There is mild tendinosis of the infraspinatus tendon and perhaps mild bursal surface fraying, but we see no discrete tear. There is mild fatty infiltration along the myotendinous junction of the infraspinatus, but the more proximal muscle appears normal. The teres minor muscle and tendon appear intact. There is mild tendinosis with mild undersurface fraying of the subscapularis tendon.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial/subdeltoid bursa, containing linear and lobular foci of debris. GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. The anterior labrum appears slightly attenuated which may reflect degenerative tearing, but we see no fluid-filled tear.BICEPS TENDON: Given the limitations of a non arthrogram study, the biceps tendon is unremarkable. ADDITIONAL
High-grade bursal surface tear of the supraspinatus tendon and other findings as described above.