Reason: R shoulder pain and popping after injury. Assess for rotator cuff pathology. ROTATOR CUFF: There is a full-thickness tear of the posterior aspect of the supraspinatus tendon which also involves the anterior aspect of the infraspinatus tendon, and extends over AP diameter of at least 12 mm. There is retraction of the proximal muscle belly of the supraspinatus to the level of the glenohumeral joint. There is a small amount of fluid in the subacromial/subdeltoid bursa, compatible with a full-thickness tear. This is superimposed on severe tendinopathy of the supraspinatus and infraspinatus tendons. There is mild fatty infiltration muscle atrophy of the supraspinatus and infraspinatus muscles. There is mild tendinosis of the subscapularis tendon. The teres minor is intact. SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is diffuse grade 3 chondral thinning at the glenohumeral joint with reactive marrow changes in the humeral head.Within the limitations of a non-arthrographic study there appears near circumferential, degenerative tearing of the glenoid labrum.BICEPS TENDON: The extracapsular portion of the biceps is intact however, it is not well visualized within the joint, which may represent severe tendinopathy or chronic partial tearing.ADDITIONAL
1.Full-thickness tear of the posterior supraspinatus/anterior infraspinatus tendons with associated retraction, tendinopathy, and mild muscular atrophy.2.Moderate degenerative arthritic changes at the glenohumeral joint with moderate chondral loss and near circumferential degenerative tearing of the glenoid labrum.3.The intra-articular portion of the long head of the biceps tendon is not well-visualized which may reflect severe tendinopathy or chronic partial tearing.