Female, 57 years old. Left shoulder weakness and pain ROTATOR CUFF: There is a massive tear of the rotator cuff. The supraspinatus and infraspinatus tendons are retracted to the level of the glenohumeral joint, although a few fibers of the infraspinatus tendon appear to extend slightly more distally. There is mild atrophy of the supraspinatus muscle and moderate atrophy of the infraspinatus muscle. The teres minor muscle and tendon are intact. There is a complete tear of the subscapularis tendon with retraction to the level of the glenohumeral joint. There is mild atrophy of the subscapularis muscle.SUPRASPINATUS OUTLET: There is widening of the acromioclavicular joint which may represent prior surgery. There is a small amount of fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The humeral head is high riding. Mild to moderate osteoarthritis affects the glenohumeral joint. There is increased signal intensity within the labrum, likely representing a combination of degeneration and degenerative tearing. There is a small to moderate-sized joint effusion with intermediate signal intensity of the fluid, particularly in the axillary recess, presumably representing synovitis.BICEPS TENDON: There is medial dislocation of the tendon of the long head of the biceps from the bicipital groove and increased signal intensity within the tendon likely representing tendinosis.
Massive rotator cuff tear and other findings as described above.