Reason: post mastectomy ln dissection neck and shoulder pain History: above ROTATOR CUFF: There is increased fluid signal abnormality within the distal supraspinatus tendon at the level of its insertion on the greater tuberosity indicating an interstitial insertional tear. No full-thickness tear is evident. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Mild degenerative changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is a small to moderate size glenohumeral joint effusion with associated enhancement on postcontrast sequences indicating a synovitis. Although this examination is not optimized for evaluation of the glenoid labrum, the anterior labrum is indistinct indicating degeneration/tearing.BICEPS TENDON: There is circumferential fluid within the tendon sheath of the long head of the biceps indicating a tenosynovitis. The tendon appears intact.ADDITIONAL
1. Nonspecific synovitis of the glenohumeral joint and tenosynovitis of the long head of the biceps tendon.2. Interstitial tearing of the rotator cuff without evidence of a full-thickness tear or retraction.