Pain. Cuff tear? ROTATOR CUFF: Intermediate signal intensity within the bursal surface fibers of the supraspinatus tendon posteriorly and infraspinatus tendon anteriorly suggests fraying, but I see no discrete fluid-filled rotator cuff tear. The rotator cuff musculature appears normal.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint, with edema in the distal end of the clavicle and the acromion process. There is a small amount of fluid within the acromioclavicular joint; I see no frank fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. There is a small amount of fluid in the glenohumeral joint, but I see no frank effusion. The posterior superior labrum appears attenuated and of slightly increased signal intensity, perhaps reflecting degeneration/degenerative tearing. There is low signal intensity adherent to the anterior labrum; this may simply reflect unusually prominent capsular tissue, as the underlying labrum itself appears intact.BICEPS TENDON: The tendon of the long head of the biceps appears normal. ADDITIONAL
1.Acromioclavicular joint osteoarthritis.2.Mild fraying of the bursal surface of the supraspinatus and infraspinatus, but I see no discrete fluid-filled tear.3.Other findings as above.