Reason: eval cuff History: shoulder pain ROTATOR CUFF: Complete tear of the supraspinatus tendon with retraction to the glenohumeral joint. Relatively mild fatty atrophy of the supraspinatus muscle. This tear extends posteriorly to involve majority of the infraspinatus tendon which is similarly retracted, with a small portion of the posterior infraspinatus tendon that appears to extend to its insertion at greater tuberosity. Mild to moderate fatty atrophy of the infraspinatus muscle. Teres minor tendon and muscle are intact. Thickening and increased signal intensity of the inferior fibers of the subscapularis indicating tendinosis. Near full thickness to full thickness disruption of the superior subscapularis fibers at their insertion. Superficial fibers may extend across the bicipital groove. Fatty infiltration along the myotendinous junction of the subscapularis. SUPRASPINATUS OUTLET: Moderate osteoarthritis of the AC joint, with small ossicles along the anterior acromion that may represent multipartite os acromiale. Small amount of fluid in the subacromial bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Humeral head is high riding, but otherwise glenohumeral joint alignment is within normal limits. Thinning of the glenohumeral joint cartilage indicating mild osteoarthritis. Small amount of fluid in the glenohumeral joint is present. Increased signal intensity in the superior labrum likely representing degeneration.BICEPS TENDON: Thickening and increased signal of the tendon of the long head of the biceps with the rotator interval indicating severe tendinosis and degenerative tearing. Small amount of fluid in the biceps tendon sheath.
Rotator cuff tears and other findings as described above.