67-year-old female. Backache numbness in right leg and left shoulder pain. ROTATOR CUFF: Intermediate increased signal of the supraspinatus, infraspinatus, and subscapularis tendons consistent with tendinosis. No discrete tear is evident. Mild atrophy of the rotator cuff muscles diffusely, within normal limits for patient age.SUPRASPINATUS OUTLET: Large os acromiale. Severe acromioclavicular joint osteoarthritis with fluid in the joint and osteophytes. There is associated fluid in the subacromial/subdeltoid bursa and a tiny pocket of fluid above the AC joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Severe osteoarthritis of the glenohumeral joint with marked joint space narrowing and subchondral cysts in the glenoid. There is fraying and irregular shape of the anterior labrum, likely representing degenerative tearing. Small cysts in the greater tuberosity of the humeral head, most likely related to aforementioned rotator cuff pathology.BICEPS TENDON: The biceps tendon is intact and in the bicipital groove. ADDITIONAL
1. Severe glenohumeral joint osteoarthritis. Severe acromioclavicular joint osteoarthritis with associated subdeltoid/subacromial bursitis.2. Rotator cuff tendinosis without evidence of a discrete tear.