Reason: eval for ligament tear History: one year hx of right shoulder pain Due to the patient's body habitus, the routine shoulder coil could not be used. A flex coil was utilized instead resulting in slightly suboptimal image quality.ROTATOR CUFF: There is thickening and intermediate signal intensity of the supraspinatus tendon indicating mild to moderate tendinosis and perhaps mild bursal surface fraying, but we see no discrete fluid-filled tear. The supraspinatus muscle appears intact. The tendinosis extends posteriorly to involve the anterior fibers of the infraspinatus, but otherwise the tendon appears normal. We see no fluid-filled tear. The infraspinatus muscle appears intact. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint with edema of the surrounding capsular structures. There is a small amount of fluid within the subacromial/subdeltoid bursa suggesting a mild bursitis.GLENOHUMERAL JOINT AND GLENOID LABRUM: Evaluation of the labrum is limited due to the aforementioned technical factors as well as lack of intra-articular contrast. There is intermediate signal intensity within the superior labrum which may represent degeneration, but we see no fluid-filled tear. The glenohumeral joint alignment is within normal limits. There is a small amount of fluid within the joint, but no large effusion.BICEPS TENDON: Given the limitations of a non arthrogram study, the tendon of the long head of the biceps is unremarkable. ADDITIONAL
1. Rotator cuff tendinosis without evidence of a full-thickness rotator cuff tear.2. Acromioclavicular joint osteoarthritis.3. Small amount of fluid within the subacromial subdeltoid bursa may represent a mild bursitis.4. Other findings as described above.