Right shoulder pain, bicipital tendinitis ROTATOR CUFF: There is moderate tendinosis of the supraspinatus tendon. There is a high-grade undersurface tear of the supraspinatus tendon measuring approximately 7-8 mm in diameter proximal to the tendon insertion. The tear appears to extend through the majority of the thickness of the tendon. There may be a focal perforation of the bursal surface fibers but this is equivocal and overall the bursal surface fibers appear intact. There is additional fraying of the articular surface fibers of the supraspinatus. Moderate tendinosis also affects the infraspinatus tendon with additional interstitial tearing extending along the myotendinous junction. There is increased signal intensity within the distal subscapularis tendon indicating moderate insertional tendinosis. The rotator cuff musculature is intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. There is a trace amount of fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Intermediate signal intensity replaces the superior labrum representing degeneration and degenerative tearing. The inferior labrum appears relatively intact. There is mild osteoarthritis of the glenohumeral joint and a small joint effusion with fluid concentrating in the subscapular recess.BICEPS TENDON: Evaluation of the long head of the biceps tendon is limited given the lack of intra-articular contrast and the internally rotated position of the patient. Within these limits, the tendon is not well seen within the rotator interval and portions of the biceps tendon are not seen within the bicipital groove suggesting rupture.
1. Rotator cuff tendinosis with high-grade partial-thickness tearing of the supraspinatus tendon; additional rotator cuff tearing as described above.2. Poor visualization of the long head of the biceps tendon suggesting complete tear.3. Osteoarthritis of the shoulder with other findings described above.