Male 51 years old with severe left shoulder pain and decreased mobility following fall down flight of stairs, evaluate for rotator cuff injury. ROTATOR CUFF: There is perhaps mild bursal surface fraying along the supraspinatus tendon at the 12:00 position as well as perhaps mild thinning of the tendon anteriorly but we see no rotator cuff tear. There is a small cyst in the top of the humeral head with mild signal abnormality in the adjacent marrow which is likely degenerative in etiology.SUPRASPINATUS OUTLET: Mild to moderate acromioclavicular joint osteoarthritis. No fluid is seen in the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Alignment is normal. There is no joint effusion. Minimal osteoarthritis affects the glenohumeral joint. Intermediate signal intensity within the superior labrum posteriorly may represent a degenerative tear.BICEPS TENDON: The long head of the biceps tendon appears normal. ADDITIONAL
1.Equivocal bursal surface fraying of the supraspinatus. No evidence of acute rotator cuff injury.2.Osteoarthritis and other findings as above.