73 year old female. Left shoulder pain/weakness. Evaluate for rotator cuff pathology. Evaluation of multiple sequences is limited by patient motion artifact.ROTATOR CUFF: Supraspinatus: Complete tear of the supraspinatus tendon from its insertion on the greater tuberosity with retraction of the tendon to the top of the humeral head. There is thickening of the retracted tendon, likely representing tendinosis. Moderate fatty atrophy of supraspinatus muscle is noted. Infraspinatus: Near complete tear to complete tear of the infraspinatus muscle with similar retraction and mild to moderate atrophy of the muscle.Teres minor: The tendon and muscle are intact.Subscapularis: Thickening of the subscapularis tendon likely represents tendinosis but we see no fluid-filled tear. The subscapularis muscle is intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. A small amount of fluid is seen in the subacromial/subdeltoid bursa. The humeral head is high riding with narrowing of the acromiohumeral interval to 3 mm.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is mild-moderate osteoarthritis of the glenohumeral joint with areas of near full-thickness cartilage degeneration. Portions of the labrum are attenuated likely reflecting degenerative tearing.BICEPS TENDON: The tendon of the long head of the biceps is not distinctly visualized in the rotator interval, and a tear cannot be excluded.ADDITIONAL
Massive rotator cuff tear and other findings, as described above.