70-year-old female patient with right shoulder pain. ROTATOR CUFF: There is mild increased signal intensity within the supraspinatus tendon, suggestive of tendinosis, and perhaps mild articular and bursal surface fraying. We see no fluid-filled tear of the supraspinatus tendon, and the muscle appears normal. There may be mild tendinosis of the anterior fibers of the infraspinatus tendon, otherwise, the muscle and tendon appear normal. The teres minor muscle and tendon appear normal. There is increased intrasubstance signal intensity within the subscapularis tendon, suggestive of mild interstitial tearing. However, we see no full-thickness tear and the subscapularis muscle appears normal. Note is made of a small cyst in the anterior aspect of the humeral head at the insertion of the subscapularis tendon.SUPRASPINATUS OUTLET: Minimal degenerative changes affect the acromioclavicular joint, essentially normal for patient's age. There is trace fluid in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment appears normal. There is no frank osteoarthritis of the glenohumeral joint. There are perhaps mild degenerative changes in the glenoid labrum, but we see no fluid-filled tear given the limitations of this non-arthrographic study. We see no large joint effusion, but there is heterogeneous signal intensity on T2 imaging extending into the subscapularis recess, which is suggestive of fluid and debris or synovitis.BICEPS TENDON: The short head of the biceps tendon appears normal given the limitations of a non-arthrographic study.
1.Mild tendinosis and possible surface fraying of the supraspinatus tendon as well as mild intrasubstance tearing of the subscapularis tendon. However, no full-thickness tear is evident.2.Other findings, as above.