Reason: Assess for rotator cuff injury or other cause for left shoulder pain History: Left shoulder pain. ROTATOR CUFF: Perhaps minimal tendinosis of the supraspinatus tendon, but this is equivocal and we see no discrete supraspinatus tendon tear. The supraspinatus muscle appears normal. The infraspinatus tendon and muscle appear normal. The teres minor tendon appears normal. Slight atrophy of the teres minor muscle is of uncertain significance and we see no masses within the quadrilateral space. The subscapularis tendon appears slightly thickened, but we suspect this is due to internal rotation of the humerus and we see no discrete tear. Subscapularis muscle appears normal.SUPRASPINATUS OUTLET: Edema within the distal clavicle as well as a small amount of pericapsular edema along the AC joint. We see no edema within the acromion process. We see no free fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Given the limitations of a non-arthrographic study, the glenoid labrum appears intact. We see no joint effusion. Alignment of the glenohumeral joint is within normal limits. Bandlike signal intensity along and within the anterior aspect of the glenohumeral joint likely represents redundant capsular structures.BICEPS TENDON: Given the limitations of a non-arthrographic study, the tendon of the long head of the biceps appears intact.ADDITIONAL
1.Edema within the distal clavicle and along the capsule of the AC joint with no edema within the acromial process may represent stress reaction of the distal clavicle such as osteolysis that can be seen in weightlifters, or perhaps a low grade injury to the AC joint.2.No evidence of rotator cuff tear.3.Other findings as described above.