76-year-old female with right shoulder pain and difficulty raising the right arm. Rule out rotator cuff injury. Patient motion artifact limits examination.ROTATOR CUFF: There is a full-thickness tear of the supraspinatus at the level of its insertion on the greater tuberosity with minimal retraction, measuring approximately 12 mm in AP dimension. There is thickening and intermediate signal abnormality affecting the supraspinatus tendon indicating moderate tendinosis. There is mild fatty infiltration/atrophy of the supraspinatus.There is interstitial tearing of the infraspinatus at the level of the myotendinous junction. There is fatty infiltration of the infraspinatus at the level of the myotendinous junction. The infraspinatus muscle and tendon otherwise appear intact. The teres minor and subscapularis muscles and tendons appear intact. There is thickening and intermediate signal intensity within the subscapularis indicating a combination of tendinosis and redundancy of the tendon, given the lack of external rotation of the humeral head on this examination.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa. Mild degenerative changes affect the acromioclavicular joint with inferior osteophyte formation off the acromion process and clavicle resulting in slight impression of the superior fibers of the supraspinatus. There is a small amount of fluid within the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Although this examination was not protocoled for evaluation of the glenoid labrum, the labrum appears intact.BICEPS TENDON: There is thickening and intermediate signal abnormality affecting the extra articular portion of the tendon of the long head of the biceps indicating moderate tendinosis. There is longitudinal split tearing of the extra-articular portion of the long head of the biceps tendon. The intra-articular portion of the long head of the biceps is also thickened with increased signal abnormality suggesting moderate tendinosis. There is a subcentimeter focus of low signal abnormality within the tendon sheath of the long head of the biceps, along the anterior aspect of the humeral metadiaphysis, which may represent a loose body. Circumferential fluid within the tendon sheath of the long head of the biceps may reflect fluid extension from the glenohumeral joint versus a tenosynovitis. ADDITIONAL
1. Full-thickness tear of the supraspinatus tendon and interstitial tearing of the infraspinatus as described above. Rotator cuff tendinosis as described above.2. Longitudinal split tear of the long head of the biceps tendon.3. Small glenohumeral joint effusion and other findings as described above. 