Reason: eval for etiology of R shoulder pain History: R shoulder pain ROTATOR CUFF: Note is made of a full-thickness tear of the anterior fibers of the supraspinatus at the level of its insertion on the greater tuberosity measuring approximately 8 mm in the AP dimension. There is no significant retraction. There is thickening and intermediate signal intensity within the supraspinatus indicating tendinosis. There is an interstitial tear of the infraspinatus extending from the level of the muscle belly to the level of the myotendinous junction. There is perhaps mild undersurface fraying of the subscapularis. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. The acromioclavicular joint is normal in appearance.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is full-thickness articular cartilage degeneration along the glenoid with associated underlying subchondral cyst formation. There is branching linear increased signal abnormality within the superior labrum which likely represents a combination of degeneration and degenerative tearing. There is small osteophyte formation.BICEPS TENDON: There is thickening and intermediate signal intensity within the intra-articular portion of the long head of the biceps tendon indicating moderate tendinosis. The tendon appears intact. ADDITIONAL
1. Full-thickness tear of the supraspinatus without retraction as described above. Interstitial tearing of the infraspinatus. Tendinosis of the rotator cuff. 2. Apparent degeneration and degenerative tearing of the glenoid labrum within the limitations of a non arthrogram study. 3. Moderate osteoarthritis of the glenohumeral joint with articular cartilage degeneration and subchondral cyst formation. Other findings as above.