Pain. Rule out soft tissue pathology. Evaluation of the shoulder is slightly limited due to relatively poor signal on the fat-suppressed T2-weighted images.ROTATOR CUFF: There is a complete tear of the supraspinatus tendon from the greater tuberosity with retraction of the tendon to the level of the glenohumeral joint. Increased signal intensity within the distal end of the retracted tendon suggests tendinosis. There is mild fatty atrophy of the supraspinatus muscle. There is a near-complete to complete tear of the infraspinatus tendon, possibly with a few tendinous strands extending to the greater tuberosity posteriorly. The majority of the tendon is retracted to the level of the glenohumeral joint. Increased signal intensity within the retracted tendon reflects tendinosis and interstitial tearing. There is moderate fatty atrophy of the infraspinatus muscle. The teres minor muscle and tendon appear intact. There is thickening of the subscapularis tendon near its insertion on the lesser tuberosity that likely reflects a combination of tendinosis and redundancy due to internal rotation of the humeral head. Additional foci of increased signal intensity within the distal subscapularis tendon likely reflect interstitial and undersurface tearing. The subscapularis muscle is within normal limits for age.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The humeral head is high riding, but otherwise alignment is within normal limits. There is mild to moderate degeneration of the articular cartilage of the glenohumeral joint. Intermediate signal intensity within the superior labrum likely reflects degeneration, but I see no fluid-filled labral tear.BICEPS TENDON: The tendon of the long head of the biceps is poorly defined within the rotator interval which may simply be a technical phenomenon. The tendon is visualized within the intertubercular groove with a small amount of fluid in the biceps tendon sheath. Bone marrow signal intensity is within normal limits.
Rotator cuff tear and other findings as described above.