Reason: eval for abscess History: pain ROTATOR CUFF: There is an undersurface tear of the supraspinatus tendon at the level of its insertion on the greater tuberosity with delamination and minimal retraction of the undersurface fibers involving approximately 50% of the tendon thickness. There may also be tearing or fraying of the far anterior bursal surface fibers of the supraspinatus, but this is equivocal. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. We see no frank fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is enhancement of the glenohumeral joint with a small amount of fluid indicating a synovitis. There are multiple focal defects of the articular cartilage of the glenohumeral joint as well as tearing of the anterior and superior labrum. We see no definite bone erosions. There are small foci of bone marrow signal abnormality within the greater tuberosity likely reflecting overlying rotator cuff pathology.BICEPS TENDON: Fluid and synovitis extends into the biceps tendon sheath. There is increased signal intensity within the intra-articular portion of the tendon of the long head of the biceps likely reflecting tendinosis. ADDITIONAL
1. No evidence of abscess.2. Nonspecific glenohumeral joint synovitis with a small amount of fluid within the joint as well as tearing of the articular cartilage and glenoid labrum. We see no bone marrow edema or erosions.3. Partial thickness tear of the supraspinatus tendon and other findings as described above.