Check for rotator cuff tear. Pain ROTATOR CUFF: Mild tenderness thickening and increased signal within the subacromial supraspinatus towards the attachment with undersurface fraying yet without discrete specific findings of associated intrasubstance or transversing tear. The remaining rotator cuff appears intact and otherwise unremarkableSUPRASPINATUS OUTLET: Small underlying acromial focus is suggested, plain films would be helpful for confirmation. Mild degenerative changes otherwise scattered and observed including small subchondral cyst in the humeral headGLENOHUMERAL JOINT AND GLENOID LABRUM: Labrum is grossly intact within this limited nonaugmented examBICEPS TENDON: Minimal increased signal is also observed in the horizontal component, however the biceps tendon otherwise is well positioned. Mild additional tendinopathy cannot be excluded ADDITIONAL
Moderate supraspinatus tendinopathy with questionable associated or minimal changes of the biceps tendon