Right shoulder pain ROTATOR CUFF: There is a full-thickness tear of the distal insertional fibers of the supraspinatus with retraction of the tendon by approximately 1.1 cm. The tear measures approximately 6 mm in the AP dimension and this is superimposed upon tendinopathy of the supraspinatus. There is mild tendinopathy of the infraspinatus tendon but no evidence of a full-thickness tear. There is a small focus of increased signal intensity within the insertional fibers of the subscapularis which may reflect a small interstitial tear. The teres minor tendon is normal. The rotator cuff musculature is preserved.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Alignment of the glenohumeral joint is normal. There is abnormal signal intensity and morphology of the anterior labrum likely reflective of degeneration and degenerative tearing. There is a small amount of fluid in the glenohumeral joint but no sizable effusion.BICEPS TENDON: The biceps tendon is intact. A trace amount of fluid surrounds the biceps tendon and the intertubercular groove which may reflect extension from the glenohumeral joint.ADDITIONAL
1. Full-thickness rotator cuff tear of the distal insertional fibers of the supraspinatus tendon with approximately 1 cm of retraction. There is tendinopathy of the supraspinatus and infraspinatus tendons as well.2. Degeneration and degenerative tearing of the anterior labrum which is likely age-related.3. Normal appearance of the biceps tendon.4. Soft tissue mass anterior to the acromioclavicular joint likely reflects a small lipoma.