Reason: Violinist with persistent right shoulder pain and limited ROM History: pain and limited ROM ROTATOR CUFF: There is thickening and intermediate signal intensity within the supraspinatus indicating mild to moderate tendinosis. There is partial thickness tearing of the articular surface fibers of the supraspinatus just proximal to the level of its insertion on the greater tuberosity and involving less than 50% of the tendon width. No full-thickness tear or retraction is identified. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. There is a tiny interstitial tear of the subscapularis tendon at the level of the myotendinous junction. The subscapularis and teres minor muscles and tendons otherwise appear intact. SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid recess. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal intensity within the superior and anterior glenoid labrum likely representing a combination of degeneration and degenerative tearing.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is a small amount of circumferential fluid within the tendon sheath of the long head of the biceps which likely represents fluid extension from the joint. ADDITIONAL
Rotator cuff tendinosis and partial thickness tearing of the supraspinatus without evidence of a full-thickness rotator cuff tear or retraction.