52-year-old male with pain ROTATOR CUFF: Best seen on the sagittal oblique sequence is a full-thickness tear through the anterior fibers of the supraspinatus tendon at its insertion. There is less than 1 cm retraction and the tear is just under 1.5 cm in AP dimension. Intermediate signal intensity within the remainder of the supraspinatus tendon may represent fraying. The supraspinatus muscle is within normal limits. There is perhaps mild tendinosis of the infraspinous tendon with no discrete tear. The infraspinatus muscle is within normal limits. The teres minor and subscapularis muscle and tendon are within normal limits.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint with osteophytes resulting in mild impression of the superior fibers of the supraspinatus. No frank fluid is noted within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Alignment of the glenohumeral joint is within normal limits. Mild osteoarthritis affects the glenohumeral joint. Evaluation of the labrum is limited due to lack of intra-articular contrast. Given this limitation, there is no fluid-filled tear.BICEPS TENDON: Given the limitation of a nonarthrographic study, the tendon of the long head of the biceps is within normal limits. ADDITIONAL
1.Full-thickness tear of the anterior fibers of the distal supraspinatus tendon.2.Moderate osteoarthritis of the acromioclavicular joint, mild osteoarthritis of the glenohumeral joint, and other findings as above.