Reason: R shoulder AC joint pain, calcific tendonitis History: R shoulder pain Suboptimal evaluation secondary to patient motion artifact.ROTATOR CUFF: There is a full-thickness tear of the supraspinatus at the level of its insertion on the greater tuberosity measuring approximately 13 mm in the AP dimension. There is minimal (7 mm) retraction of the proximal tendon fragment. This tear extends posteriorly to involve the anterior fibers of the infraspinatus as well. Additionally, there is a small interstitial tear of the infraspinatus at the level of the myotendinous junction. There is fatty infiltration of the supraspinatus, infraspinatus and subscapularisSUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Moderate degenerative changes affect the acromioclavicular joint with prominent osteophyte formation along the inferior aspect of the acromion process.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality within the anterior inferior and superior labrum likely reflecting degeneration and degenerative tearing. There is a subcentimeter focus of fluid signal intensity along the superior and posterior aspect of the glenoid indicating a paralabral cyst likely related to a labral tear.BICEPS TENDON: The intra-articular portion of the long head of the biceps tendon is poorly visualized likely indicating a near full-thickness to full-thickness tear, although evaluation is limited secondary to patient motion artifact. The tendon of the long head of the biceps is also poorly visualized within the bicipital groove which may reflect proximal retraction beyond the caudal aspect of the examination.ADDITIONAL
1. Full-thickness tear of the supraspinatus with retraction as described above.2. Full-thickness tear of the long head of the biceps tendon with retraction as described above.3. Nonspecific right axillary lymphadenopathy.4. Degeneration/degenerative tearing of the glenoid labrum with paralabral cyst formation.5. Osteoarthritis of the shoulder with prominent osteophyte formation along the inferior aspect of the acromion process resulting in impression on the superior fibers of the supraspinatus.