Female 71 years old Reason: Right shoulder pathology, possible rotator cuff. ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus tendon indicating moderate-severe tendinosis with extension to both articular surfaces suggesting surface fraying. While we see no discrete fluid-filled full-thickness rotator cuff tear, there is a linear focus of high signal intensity within the proximal supraspinatus tendon extending to the bursal surface best seen on the sagittal oblique sequence, compatible with a bursal surface tear. Furthermore, low signal intensity undersurface fibers of the tendon appear to end abruptly approximately 1.5 cm proximal to their expected site of attachment on the greater tuberosity, suggesting delamination and retraction. Small foci of fluid signal intensity within the distal supraspinatus tendon at its insertion represent small interstitial insertional tears with possible extension to the bursal surface on the anterior cuts. There is mild fatty atrophy of the supraspinatus muscle. There is tendinosis of the infraspinatus with mild interstitial tearing along the myotendinous junction but no full-thickness tear. Mild fatty atrophy of the infraspinatus muscle. The teres minor muscle and tendon are unremarkable. There is increased signal intensity within the superior fibers of the subscapularis tendon at its insertion compatible with partial thickness undersurface tear. The subscapularis muscle is unremarkable.SUPRASPINATUS OUTLET: Mild osteoarthritis of the acromioclavicular joint. Small amount of fluid within the subacromial/subdeltoid bursa containing intermediate signal intensity, presumably representing debris/synovitis.GLENOHUMERAL JOINT AND GLENOID LABRUM: Normal alignment of the glenohumeral joint. Given the limitations of this non-arthrographic study, the labrum appears normal for age.BICEPS TENDON: Thickening and increased signal intensity within the long head of biceps tendon at its transition from rotator interval to the intertubercular sulcus, indicating mild tendinosis. The tendon is also slightly perched upon the lesser tuberosity. ADDITIONAL
1. Rotator cuff tendinosis and partial thickness tears as described above most severely affecting the supraspinatus tendon.2. Osteoarthritis of the acromioclavicular joint.3. Mild tendinosis of the biceps tendon which appears slightly perched along the lesser tuberosity.4. Other findings as described above.