Reason: shoulder pain History: pain ROTATOR CUFF: There is complete rupture of the supraspinatus tendon with retraction to the level of the glenohumeral joint. There is mild fatty atrophy of the supraspinatus. There is extension of this tearing to involve the anterior fibers of the infraspinatus. There is an interstitial tear of the infraspinatus at the level of the myotendinous junction. There is thickening and intermediate signal intensity of the infraspinatus indicating a moderate tendinosis. There is a tiny interstitial tear of the subscapularis at the level of its insertion. The teres minor muscle and tendon appear intact. SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa. There are foci of low signal intensity internally which may reflect a bursitis. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality within the superior and anterior labrum likely representing degeneration and degenerative tearing. Mild osteoarthritis affects the glenohumeral joint.BICEPS TENDON: The tendon of the long head of the biceps is poorly visualized at its transition from the bicipital groove to the rotator cuff interval and is likely disrupted.ADDITIONAL
1. Complete rupture of the supraspinatus tendon with extension of the tear to involve the infraspinatus tendon.2. Probable complete rupture of the tendon of the long head of the biceps as described above.3. Osteoarthritis of the shoulder and other findings as described above.