60-year-old male with decreased strength. Evaluate rotator cuff. ROTATOR CUFF: There is a full-thickness tear of the anterior fibers of the supraspinatus at the level of its insertion on the greater tuberosity measuring approximately 20 mm in the AP dimension with approximately 1.5 cm of retraction. There is moderate fatty atrophy of the supraspinatus. There is partial thickness articular surface and interstitial tearing of the infraspinatus tendon. There is moderate fatty infiltration of the infraspinatus. There is interstitial tearing of the subscapularis at the level of the myotendinous junction. There is moderate fatty infiltration of the subscapularis muscle. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Moderate degenerative changes affect the acromioclavicular joint with inferior osteophyte formation along the acromion process.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality within the anterior labrum suggesting degeneration/degenerative tearing. Mild osteoarthritic changes affect the glenohumeral joint.BICEPS TENDON: There is deformity and increased signal intensity traversing the intra-articular portion of the long head of the biceps tendon indicating a combination of a longitudinal split tearing and tendinosis. There is circumferential fluid within the tendon sheath of the long head of the biceps which may reflect fluid extension from the joint versus a mild tenosynovitis.ADDITIONAL
1. Full-thickness rotator cuff tear with mild retraction as described above.2. Degeneration/tearing of the glenoid labrum.3. Tendinosis and longitudinal split tear of the intra-articular portion of the long head of biceps tendon. 4. Osteoarthritis of the glenohumeral and acromioclavicular joints. 