Left shoulder pain ROTATOR CUFF: There is mildly increased signal intensity within the supraspinatus tendon reflecting mild tendinosis with perhaps mild bursal surface fraying of the posterior fibers. However, there is no discrete fluid-filled gap to indicate full-thickness tear. A degenerative cyst is noted in the greater tuberosity at the insertion of the supraspinatus tendon. The tendinosis and fraying extends posteriorly to involve the anterior fibers of the infraspinatus tendon but there is no discrete fluid-filled rotator cuff tear. There is mild fatty atrophy of the supraspinatus and infraspinatus musculature. A dumbbell-shaped lipoma is situated between the supraspinatus and infraspinatus muscles at the level of the glenohumeral joint and measures 3 x 2 x 3.5 cm. The teres minor and subscapularis tendons and muscles are intact.SUPRASPINATUS OUTLET: There is mild osteoarthritis of the acromioclavicular joint. A trace amount of fluid is noted in the subacromial subdeltoid bursa which is of doubtful clinical significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is mild osteoarthritis of the glenohumeral joint with cartilage thinning and subchondral cysts evident within the glenoid. The glenohumeral alignment is normal. There is no joint effusion. There is slight blunting of the superior labrum which may be degenerative in nature but there is no fluid-filled tear identified.BICEPS TENDON: No significant abnormality noted.
1. Mild osteoarthritis of the glenohumeral and acromioclavicular joints.2. Mild tendinosis and possible bursal fraying of the rotator cuff without discrete full-thickness tear.3. Other findings as detailed above.