Right shoulder pain ROTATOR CUFF: Again seen is partial-thickness undersurface tearing of the distal fibers of the supraspinatus tendon, the extent of which appears similar to the prior exam. This is superimposed upon tendinopathy of the supraspinatus tendon which does appear more prominent than the prior exam. There is otherwise no evidence of rotator cuff tear. The rotator cuff musculature is normal in caliber and signal. Degenerative cystic changes are seen along the greater tuberosity near the rotator cuff insertion.SUPRASPINATUS OUTLET: Severe osteoarthritis affects the acromioclavicular joint, similar to the prior exam. There is no significant subacromial subdeltoid fluid.GLENOHUMERAL JOINT AND GLENOID LABRUM: Within the limits of a non-arthrographic study, there is degenerative tearing of the labrum without gross labral detachment. Mild osteoarthritis and degenerative cystic changes are noted in the glenoid. BICEPS TENDON: A small amount of fluid is seen within the biceps tendon sheath. The biceps tendon is otherwise intact. ADDITIONAL
1. Partial thickness undersurface tearing of the distal fibers of the supraspinatus tendon appearing similar to the prior exam although there is worsening tendinopathy. There is otherwise no evidence of full-thickness rotator cuff tear.2. Severe osteoarthritis of the acromioclavicular joint.