69-year-old female with shoulder pain. ROTATOR CUFF: There is a full-thickness tear of the supraspinatus from its insertion on the greater tuberosity, with 1 cm or less of proximal retraction. This appears to be a complete or near-complete tear, possibly with a few intact articular surface fibers posteriorly. There is a 7 mm ossicle within the retracted end of the torn tendon corresponding to a small ossicle seen on prior radiographs from October 2014. There is slight loss of volume of the supraspinatus muscle with relatively minimal fatty infiltration. There is intermediate signal intensity within the anterior fibers of the infraspinatus tendon at its insertion suggesting tendinosis but we see no fluid-filled filled tear. There is mild volume loss of the infraspinatus muscle with minimal fatty infiltration. There is mild intermediate signal abnormality within the subscapularis tendon suggesting mild tendinosis. The subscapularis muscle and tendon appear intact. The teres minor muscle and tendon appear intact. There is spurring at the greater tuberosity representing chronic enthesopathic changes as seen on prior radiographs.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint and there is a small os acromiale. Additional small ossicles lateral to the acromion process likely represent chronic enthesopathic changes at the deltoid origin. There is a small amount of fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is perhaps mild fraying of the superior labrum, but we see no fluid-filled tear within the limitations of a non arthrogram study. The glenohumeral joint alignment is within normal limits. There is a small amount of fluid within the joint but no large effusion is evident.BICEPS TENDON: The tendon of the long head of biceps appears intact.
Rotator cuff tear, acromioclavicular joint osteoarthritis, and other findings as described above.