Male 47 years old Reason: bilateral shoulder pain, concern for rotator cuff pathology. ROTATOR CUFF: The supraspinatus tendon and muscle are within normal limits. The infraspinatus tendon and muscle are within normal limits. The teres minor tendon and muscle are within normal limits. Apparent thickening of the subscapularis tendon is likely due to redundancy due to internal rotation of the humeral head, but we see no tear.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. There is trace fluid within the subacromial subdeltoid bursa which may not be of clinical significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a small amount of fluid within the glenohumeral joint. Within the limitations of this non-arthrographic study the glenoid labrum appears intact. There is apparent thickening and redundancy of the anteroinferior capsule which is again likely related to artifact due to internal rotation of the humeral head. There is a small cyst at the anterior aspect of the humeral head.BICEPS TENDON: Evaluation of the long head of biceps tendon is limited by internal rotation of the humeral head and lack of intra-articular contrast but we see no gross abnormality. RIGHT SHOULDER:
1. Bilateral acromioclavicular joint osteoarthritis.2. No rotator cuff tear.3. Other findings as described above.