74-year-old female with new left shoulder pain without history of trauma, unable to raise arm ROTATOR CUFF: There is mildly increased signal intensity within the supraspinatus and infraspinatus tendons suggesting mild tendinosis with degenerative cysts in the underlying humeral head. There is mild atrophy of the supraspinatus and infraspinatus muscles compatible with patient's age. The teres minor muscle and tendon are intact. There may be mild insertional tendinosis of the subscapularis tendon, otherwise the tendon and muscle are intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid in the subacromial/subdeltoid bursa. There are also globular foci of intermediate to low signal intensity within the anterolateral aspect of the bursa with edema in the adjacent humerus. We suspect this represents calcific bursitis (calcium hydroxyapatite deposition) or could conceivably represent gout. Further imaging with conventional radiographs is recommended. Lateral spurring of the acromion process is noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthritis affects the glenohumeral joint with thinning of the articular cartilage. There is diffused increased signal intensity within the superior labrum, which likely reflects degeneration. Small amount of fluid within the glenohumeral joint.BICEPS TENDON: The biceps tendon is intact.
1.Small amount of fluid in the subacromial/subdeltoid bursa with foci of low signal intensity likely reflects calcific bursitis. Further evaluation with conventional radiographs is recommended.2.Mild rotator cuff tendinosis and other degenerative findings as described aboveFindings discussed with Dr. Sandra Shi at 10:00 AM on 11/4/2015