53-year-old man with right elbow pain. Evaluate for distal biceps tendon tear. LIGAMENTS: No significant abnormality noted. TENDONS: There is thickening and increased signal abnormality affecting the biceps tendon consistent with moderate tendinosis. There are foci of increased fluid signal abnormality in the surrounding area consistent with partial thickness tearing/grade 2 strain of the biceps tendon just proximal to its insertion on the bicipital tuberosity of the proximal radius. No full-thickness or near full-thickness tear is evident. There is no evidence of retraction. The imaged portion of the biceps muscle belly appears intact. ARTICULAR SURFACES AND BONE: There is increased bone marrow signal abnormality within the biceps tuberosity of the proximal radius which may represent reactive osteitis. Heterogeneous bone marrow signal abnormality may represent residual islands of red marrow.SURROUNDING STRUCTURES: No significant abnormality noted.ADDITIONAL
Grade 2 strain of the biceps brachii tendon as described above. 