56-year-old female with limited ROM and pain status post left lesion with bone graft repair 32 years ago. ROTATOR CUFF: Small bursal surface partial-thickness tear of the insertional supraspinatus tendon. Additional undersurface tearing of the distal supraspinatus tendon of at least 50% in a background of moderate to severe tendinopathy. Mild undersurface tearing of the anterior fibers of the infraspinatus tendon and the subscapularis tendon in a background of mild tendinopathy. The teres minor is intact. No significant muscle atrophy. SUPRASPINATUS OUTLET: Mild osteoarthritis affects the AC joint. GLENOHUMERAL JOINT AND GLENOID LABRUM: Degenerative tearing of the entire labrum, worst at the anterior labrum. Mild osteoarthritis of the glenohumeral joint with small osteophytes and articular cartilage thinning along the humerus. Cystic changes along the anterior aspect of the humeral head likely represent subcortical cysts related to degenerative changes. BICEPS TENDON: Fluid within the tendon sheath. Long head of the biceps tendon is intact and seen to the anchor.ADDITIONAL
1.Undersurface tearing of distal supraspinatus tendon of at least 50% in background of moderate to severe tendinopathy. Small insertional bursal surface tear.2.Mild undersurface tearing of the infraspinatus and subscapularis in background of mild tendinopathy.3.Diffuse degenerative tearing of the labrum, greatest involving the anterior labrum.4.Mild glenohumeral and AC joint osteoarthritis.5.Moderate glenohumeral joint effusion.6.Mild subacromial bursitis.