62 year old female with shoulder pain. ROTATOR CUFF: There is thickening of and intermediate signal abnormality within the supraspinatus tendon consistent with moderate tendinosis. There is also focal increased signal intensity along the undersurface fibers of the supraspinatus tendon suggesting fraying/mild degenerative tearing. We see no full-thickness rotator cuff tear. The supraspinatus muscle appears intact. There is thickening and intermediate signal intensity of the infraspinatus tendon indicating moderate tendinosis, but we see no fluid-filled tear. There is mild atrophy of the infraspinatus muscle. The teres minor muscle and tendon are within normal limits. There is thickening and intermediate signal intensity affecting the subscapularis tendon at its insertion, indicating moderate tendinosis, appearing similar to the prior study.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. No frank fluid is identified in within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. There is a small amount of fluid within the joint, but no frank effusion. Mild osteoarthritis affects the glenohumeral joint. Portions of the anterior labrum are not well visualized, which may represent tearing. There is mild increased signal intensity within the posterior superior labrum, which may reflect degenerative tearing.BICEPS TENDON: There is marked thickening and increased signal intensity of the tendon of the long head of the biceps within the rotator interval and at its transition to the intertubercular groove, suggestive of severe tendinosis, which may have progressed slightly when compared to the prior study. ADDITIONAL
1. Severe tendinosis of the tendon of the long head of biceps.2. Moderate tendinosis of the rotator cuff with perhaps slight progression of undersurface fraying/degenerative tearing of the supraspinatus tendon. We see no fluid-filled full-thickness tear of the rotator cuff.3. Mild osteoarthritis and other findings as described above.