Reason: cuff tear? History: pain Exam is slightly limited by patient motion artifact.ROTATOR CUFF: Complete full-thickness tear of supraspinatus tendon from its insertion at the greater tuberosity with retraction to the level of the glenohumeral joint. This tear extends posteriorly to involve the anterior fibers of the infraspinatus tendon, although posterior fibers of the infraspinatus tendon can be traced to their insertion at the greater tuberosity. Moderate fatty atrophy of the supraspinatus and infraspinatus muscles. There is also an incomplete but full-thickness tear of the subscapularis tendon with retraction of the superior tendon fibers anterior to the glenoid, although inferior fibers can be traced to the insertion on the humerus. Severe fatty atrophy of the subscapularis. Teres minor muscle and tendon are intact.SUPRASPINATUS OUTLET: There is extensive fluid within the subdeltoid bursa that extends into the acromioclavicular joint. There are foci of intermediate and low signal within the subdeltoid bursal fluid collection, which may represent old blood products. Tapering of the distal clavicle may reflect prior surgery or chronic erosion.GLENOHUMERAL JOINT AND GLENOID LABRUM: Severe osteoarthritis of the glenohumeral joint with diffuse full-thickness cartilage loss, osteophyte formation, and subchondral cysts. Intermediate signal intensity within the glenohumeral joint likely represents synovitis. Extensive tearing of the labrum.BICEPS TENDON: Tendon of the long head of the biceps is not well visualized within the intertubercular sulcus or rotator interval, likely representing rupture. ADDITIONAL
Massive rotator cuff tear, rotator cuff arthropathy, subdeltoid bursa effusion and other findings as above.