Shoulder pain and weakness. ROTATOR CUFF: There is thickening and increased signal intensity of the supraspinatus tendon indicating moderate tendinosis. A partial thickness articular surface tear is present within the anterior fibers of the tendon. No full-thickness tear is identified. Moderate fatty atrophy is again present in the supraspinatus muscle appearing similar to the prior examination.There is also a partial thickness tear of the distal fibers of the infraspinatus tendon without discrete full-thickness tears. The previously seen full-thickness tear is no longer visualized.The supraspinatus and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint with osteophytes and capsular hypertrophy resulting in mild impression on the superior fibers of the supraspinatus. A small amount of fluid is seen in the subacromial bursa, likely related to the aforementioned rotator cuff tears.BICEPS TENDON: Linear signal in the tendon of the long head of the biceps likely represents a combination of tendinosis and interstitial tearing. Fluid within the biceps tendon sheath suggests mild tenosynovitis.LABRUM: Intermediate signal in the superior labrum likely represents degeneration. No fluid-filled tear is evident. The inferior labrum is within normal limits for the patient's age.
1.Partial thickness tears of the supraspinatus and infraspinatus tendons.2.Atrophy of the supraspinatus muscle appearing similar to prior.