Reason: R shoulder pain, eval for rotator cuff tear History: see above. ROTATOR CUFF: Near full-thickness tear of the anterior fibers of the supraspinatus tendon measuring 4 mm in AP dimension in a background of moderate tendinopathy. Mild infraspinatus tendinopathy. The subscapularis and teres minor are intact. No significant fatty muscle atrophy.SUPRASPINATUS OUTLET: Moderate to severe AC joint osteoarthritis with joint fluid, osteophyte formation, including inferiorly, and subchondral bone marrow edema. Small amount of edema within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is anatomic. The labrum is grossly intact on this non-arthrographic study.BICEPS TENDON: The biceps tendon is intact. ADDITIONAL
1.Small near full-thickness tear of the supraspinatus tendon.2.Moderate to severe AC joint osteoarthritis.