Reason: Eval rotator cuff tendinopathy, r/o rotator cuff tear History: Acute on chronic L shoulder pain ROTATOR CUFF: There is bursal surface fraying of the supraspinatus approximately 2.5 cm proximal to its insertion on the greater tuberosity. Otherwise the supraspinatus muscle and tendon appear intact. There is intermediate signal intensity within the supraspinatus indicating mild tendinosis. The infraspinatus muscle and tendon appear intact. There is a tiny interstitial tear of the subscapularis at the level of its insertion. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is heterogeneity and intermediate signal intensity within the anterior inferior glenoid labrum indicating degeneration and tearing within the limitations of this non arthrogram study. The glenohumeral joint alignment is anatomic.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is a small amount of fluid within the tendon sheath which likely represents fluid extension from the joint. ADDITIONAL
1. Mild rotator cuff tendinosis. Minimal fraying of the supraspinatus. Tiny interstitial tear of the subscapularis.2. Degeneration and tearing of the inferior glenoid labrum as described above.