Female 59 years old Reason: Fall 6 weeks ago, evaluate for rotator cuff tear vs biceps tear History: left shoulder pain. ROTATOR CUFF: There is mild increased signal intensity within the supraspinatus and infraspinatus tendons suggesting mild tendinosis. There is also focal increased signal intensity replacing the bursal surface fibers of the posterior supraspinatus/anterior infraspinatus indicating fraying and/or low-grade bursal surface tearing. We see no full-thickness rotator cuff tear. The supraspinatus and infraspinatus muscles appear normal. The teres minor tendon and muscle appear normal. The subscapularis tendon and muscle appear normal.SUPRASPINATUS OUTLET: There is moderate osteoarthritis of the acromioclavicular joint. No frank fluid is seen within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a small amount of fluid within the glenohumeral joint, but no large effusion. The glenohumeral joint alignment is within normal limits. Increased signal intensity within the glenoid labrum is suggestive of mild degeneration, but we see no labral detachment or fluid-filled tear. Small cysts are seen in the posterior aspect of the humeral head.BICEPS TENDON: The tendon of long head of the biceps appears intact.
1.Mild focal bursal surface fraying/low-grade partial thickness tearing of the rotator cuff as described above. We see no full-thickness tear.2.Acromioclavicular joint osteoarthritis and other findings as described above.