Right shoulder pain The examination is limited by motion artifact and the inability to optimally position the patient. There are scattered foci of signal void identified superiorly relating to prior shoulder arthroscopy.ROTATOR CUFF: There is increased signal intensity within the supraspinatus tendon reflecting tendinopathy. Additional areas of higher signal intensity are identified within the intrasubstance of the tendon at the level of the distal acromium suggesting intrasubstance tearing as well as a focus of fluid signal intensity along the articular insertional fibers likely representing a small partial-thickness tear. The tendinopathy seen within the supraspinatus tendon extends posteriorly to involve portions of the infraspinatus tendon which otherwise appears relatively intact. There is increased signal intensity within the insertional fibers of the subscapularis tendon which likely reflect insertional tendinosis or mild interstitial tearing. The teres minor tendon is intact. There is mild atrophy of the supraspinatus, infraspinatus, and subscapularis muscles.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. There is evidence of prior distal acromial resection. A trace amount of fluid is noted within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Alignment of the glenohumeral joint is normal. Mild osteoarthritis affects the glenohumeral joint and there is degenerative fraying and tearing of the superior labrum. There is a small amount of fluid present within the subcoracoid recess.BICEPS TENDON: The biceps tendon is absent within the bicipital groove relating to prior tenotomy. ADDITIONAL
1. Small partial articular surface tearing of the insertional fibers of the supraspinatus tendon with additional rotator cuff tendinopathy detailed above. There is no evidence of a full-thickness tear.2. Surgical changes of prior acromioclavicular decompression and biceps tenotomy.3. Moderate osteoarthritis of the acromioclavicular joint.