Breast cancer. Left shoulder pain. No recent trauma. The rotator cuff tendons and muscles appear normal. The acromioclavicular joint appears normal. I see no frank fluid within the subacromial/subdeltoid bursa. Minimal enhancement of the bursa following gadolinium administration could conceivably represent a very mild bursitis, but this is equivocal. Glenohumeral joint alignment is within normal limits. Intermediate signal intensity traversing the anterior superior labrum may represent a tear or simply a normal variant, and may not be of any current clinical significance. The remainder of the labrum appears normal. There is trace fluid within the right glenohumeral joint extending into the subscapular recess, within normal limits. The tendon of the long head of the biceps appears normal. I see no soft tissue masses or bone lesions.
Minimal enhancement of the subacromial/subdeltoid bursa is of uncertain clinical significance, but could conceivably represent a very mild bursitis. I see no frank fluid within the bursa nor do I see any other specific findings to account for the patient's pain.