Reason: ? Cuff tear; ? Subscap tear History: pain ROTATOR CUFF: The supraspinatus tendon appears thinned, suggesting chronic attritional tearing. There is also a focus of linear high signal intensity separating the tendon from its insertion on the greater tuberosity indicating an insertional tear. While this insertional tear appears to involve the majority of the thickness of the tendon, it is only seen on one image and measures approximately 3 mm in the AP dimension and it spares the bursal surface fibers. We see no retraction or evidence of a full-thickness rotator cuff tear. Additionally, there is perhaps mild interstitial tearing of the supraspinatus tendon more proximally. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. There is focal increased signal intensity along the undersurface fibers of the subscapularis proximal to its insertion suggesting mild fraying with a tiny defect along the anterolateral margin overlying the humeral head, but we see no full-thickness tear. The subscapularis muscle appears intact. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. The acromioclavicular joint appears normal for age.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Given the limitations of a non-arthrogram study, the labrum appears normal for age. We see no fluid-filled articular cartilage defects.BICEPS TENDON: The tendon of the long head of the biceps appears intact. ADDITIONAL
1. Thinning of the supraspinatus tendon suggesting chronic attritional tearing as well as a partial-thickness insertional tear as described above.2. Focal undersurface fraying of the subscapularis, but we see no discrete tear.