Reason: worsening left shoulder pain; OA and calcific changes on xray History: worsening left shoulder pain; OA and calcific changes on xray Patient motion artifact limits multiple sequences.ROTATOR CUFF: There is interstitial tearing of the supraspinatus approximately 2 cm proximal to the level of its insertion on the greater tuberosity. There is no significant retraction. There is also low signal intensity along the articular surface fibers of the supraspinatus at this level corresponding to the findings of calcific tendinopathy on recent radiographs. There is mild fatty infiltration of the supraspinatus at the level of the myotendinous junction. There is a tiny full-thickness tearing of the anterior fibers of the infraspinatus. There is no significant retraction. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a moderate amount of fluid within the subacromial subdeltoid bursa which may reflect a bursitis.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is full-thickness articular cartilage degeneration along the glenoid with underlying subchondral cyst formation. There is heterogeneity and increased signal abnormality within the posterior, superior and anterior labrum which likely reflects a combination of degeneration and degenerative tearing. The anterior superior labrum is separated from the underlying glenoid indicating a SLAP tear. There is a small amount of fluid within the glenohumeral joint which extends into the subscapular recess.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is circumferential fluid within the tendon sheath which likely represents fluid extension from the glenohumeral joint.ADDITIONAL
1. Findings consistent with calcific tendinopathy of the rotator cuff. 2. Interstitial tearing of the supraspinatus and tiny full-thickness tear of the infraspinatus without evidence of retraction. 3. Osteoarthritis of the shoulder with a loose body within the axillary recess. 4. Findings suggestive of subacromial subdeltoid bursitis. Other findings as described above.