66-year-old female with RC weakness, persistent pain status post injury and PT. Evaluate rotator cuff. ROTATOR CUFF: There is complete tear of the supraspinatus tendon with 2 to 3 cm retraction of the proximal tendon fibers. There is intermediate signal intensity within the infraspinatus tendon indicating moderate tendinopathy, the possibility of a small focal tear at the insertion site cannot be excluded within the limitations described above. The remaining rotator cuff muscles and tendons appear grossly normal.SUPRASPINATUS OUTLET: Moderate osteoarthritic changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a high riding humeral head secondary to the aforementioned complete tear of the supraspinatous tendon. Mild degenerative changes affect the glenohumeral joint. The glenoid labrum appears grossly normal. There is a small amount of fluid in the joint without frank effusion.BICEPS TENDON: The long head of the biceps tendon appears grossly normal.ADDITIONAL
1. Complete tear of the supraspinatus tendon with retraction and associated high riding humeral head. Moderate tendinopathy of the infraspinatus tendon with the possibility of a small focal tear at its insertion not entirely excluded as evaluation is slightly limited secondary to motion artifact. 2. Degenerative changes as described above.