Reason: pain History: pain Evaluation of the shoulder is significantly limited by patient motion artifact.ROTATOR CUFF: There is a full-thickness tear of the supraspinatus tendon with at least 1 cm of retraction. The full thickness component of the tear measures approximately 1 cm in its AP dimension. There is perhaps a thin strand of fibers representing the posterior supraspinatus tendon that extends to the greater tuberosity. There is mild fatty atrophy of the supraspinatus muscle. Evaluation of the infraspinatus tendon is difficult due to patient motion artifact. Although the deep and posterior fibers of the tendon appear to extend to the greater tuberosity, we suspect that there is delamination of the tendon resulting in retraction of the more anterior and superficial fibers of the tendon with additional interstitial tearing along the myotendinous junction. There is moderate fatty atrophy of the infraspinatus muscle. The teres minor muscle and tendon are intact. There is thickening of the subscapularis tendon consistent with tendinosis with a tiny insertional interstitial tear. There is minimal fatty atrophy of the superior portion of the subscapularis muscle.SUPRASPINATUS OUTLET: Mild osteoarthritis of the AC joint. There is a small amount of fluid in the subacromial and subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthritis affects the acromioclavicular and glenohumeral joints. Evaluation of the glenoid labrum is limited due to patient motion artifact; however we see no large fluid-filled tear. There is a small glenohumeral joint effusion. Foci of intermediate signal intensity in the subscapular recess may represent synovitis or debris.BICEPS TENDON: Intermediate signal intensity within the extra-articular portion of the tendon of the long head of the biceps just distal to its transition to the rotator interval may reflect degeneration and/or degenerative tearing. The intra-articular portion of the tendon is not well seen likely due to motion artifact. ADDITIONAL
1. Limited study due to patient motion artifact.2. Full-thickness and partial-thickness rotator cuff tears as described above.3. Osteoarthritis of the acromioclavicular and glenohumeral joints and other findings as described above.