Right shoulder pain for one year. No improvement with therapy and injection. Evaluate for rotator cuff tear. ROTATOR CUFF: There is mild increased signal intensity within the supraspinatus tendon indicating mild tendinosis. There is also a focal tear of the bursal surface fibers at the insertion of the supraspinatus tendon on the greater tuberosity. The tear appears to involve less than 50% of the tendon thickness and is approximately 8 mm in AP dimension. There is perhaps mild fatty atrophy along the myotendinous junction of the supraspinatus muscle, which otherwise appears normal. The infraspinatus muscle and tendon appear normal. The teres minor muscle and tendon appear normal. The subscapularis muscle and tendon appear normal.SUPRASPINATUS OUTLET: There is mild osteoarthritis of the acromioclavicular joint with fluid in the joint. There is a small amount of fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits; I see no glenohumeral joint effusion. There is increased signal intensity within the posterior fibers of the superior labrum which I suspect represents a degenerative tear, of questionable clinical significance. The inferior labrum appears normal.BICEPS TENDON: The tendon of the long head of the biceps is within normal limits. ADDITIONAL
1.Supraspinatus tendinosis and insertional bursal surface tear as described above.2.Mild osteoarthritis of the acromioclavicular joint.3.Findings suggestive of tearing of the posterior superior labrum.