Reason: r/o tendon/ligament injury History: R shoulder pain. ROTATOR CUFF: There is a near complete to complete tear of the supraspinatus tendon at the level of its insertion on the greater tuberosity with approximately 2 cm of retraction of the proximal tendon fragment. The proximal tendon fragment is thickened and demonstrates intermediate signal intensity indicating tendinosis. The supraspinatus muscle appears intact. There is a small amount of increased signal abnormality and fluid sensitive sequences within the muscle belly of the supraspinatus at the level of the myotendinous junction as well as within the teres minor muscle which is nonspecific but may represent a strain injury. There is also interstitial tearing of the supraspinatus at the level of the myotendinous junction. There is extension of the supraspinatus tearing to involve the anterior fibers of the infraspinatus. The infraspinatus muscle appears intact. The subscapularis tendon appears intact.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The humeral head is slightly high riding. There is increased signal abnormality traversing the anterior inferior labrum indicating a tear. There is heterogeneity of the superior and anterior labrum likely representing a combination of degeneration and degenerative tearing. There is a small amount of fluid within the glenohumeral joint. There are foci of low signal intensity within the axillary recess which may reflect a mild synovitis or perhaps loose bodies within the joint. Osteoarthritis affects the glenohumeral joint.BICEPS TENDON: There is thickening and intermediate signal intensity within the intra-articular portion of the long head of the biceps tendon indicating a tendinosis. The tendon itself appears intact. There is a small amount of fluid within the tendon sheath of the long head of the biceps which likely represents fluid extension from the joint. ADDITIONAL
1. Near complete to complete tear of the supraspinatus tendon with retraction. Partial-thickness tearing of the anterior fibers of the infraspinatus.2. Osteoarthritis of the shoulder. Other findings as described above.