Right shoulder pain Note that the examination is limited by motion artifact.ROTATOR CUFF: There is fluid signal intensity within the undersurface of the supraspinatus tendon near its attachment upon the greater tuberosity however there is no discrete full-thickness extension appreciated. There is interstitial tear is superimposed upon tendinosis of the supraspinatus tendon. There is perhaps mild atrophy along the myotendinous junction of the infraspinatus tendon but otherwise the infraspinatus tendon and muscle are intact. The teres minor and subscapularis tendons and muscles are intact.SUPRASPINATUS OUTLET: There is severe osteoarthritis of the acromioclavicular joint with slight mass effect upon the underlying supraspinatus tendon as a result of spurring. Small amount of fluid is present within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Alignment of the glenohumeral joint is normal. Evaluation of the labrum is limited given the lack of intra-articular contrast however within these limits, there is no evidence of gross labral detachment.BICEPS TENDON: Within the limits of the motion degraded exam, the biceps tendon appears intact.ADDITIONAL
1. Tearing of the supraspinatus tendon just proximal to its insertion on the greater tuberosity. Although there is no discrete full-thickness defect appreciated, the presence of fluid in the subacromial subdeltoid bursa suggests the presence of a full-thickness component.2. Severe osteoarthritis of the acromioclavicular joint.