65-year-old man with right shoulder pain and fever. Evaluate for abscess. ROTATOR CUFF: The rotator cuff is intact. There is moderate fatty atrophy of the supraspinatus, infraspinatus and teres minor muscles. There is a small amount of fluid within the subdeltoid bursa.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is severe joint space narrowing, osteophyte formation and cartilage loss with reactive marrow change in the humeral head and glenoid. The glenoid labrum is irregular consistent with degeneration.BICEPS TENDON: The biceps tendon is not seen within the biceps groove and may be torn. The extra-articular portion of the tendon is unremarkable in appearance. ADDITIONAL
1.Moderate joint effusion with synovitis. These findings are nonspecific but can be seen in a septic joint. This is incompletely evaluated due to the lack of IV contrast.2.The biceps tendon is not seen within the biceps groove and may be torn.3.There are severe degenerative changes of the glenohumeral joint and moderate osteoarthritis at the acromioclavicular joint.4.No evidence of osteomyelitis.5.No discrete extra-articular fluid collection to suggest abscess.