84-year-old female with shoulder pain and possible tear. ROTATOR CUFF: There is complete rupture of the supraspinatus and infraspinatus tendons with associated 16 mm of retraction. There is atrophy of the supraspinatus and infraspinatus muscles. There is partial-thickness undersurface tearing of the subscapularis tendon. There is thickening and increased signal abnormality within the subscapularis tendon consistent with moderate to severe tendinosis. The subscapularis muscle appears intact. The tears minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: Note is made of narrowing of the subacromial interval consistent with chronic rotator cuff tearing. There is fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Marked degenerative changes affect the glenohumeral joint with extensive subchondral cyst formation. There is a moderate amount of fluid within the glenohumeral joint.BICEPS TENDON: Circumferential fluid is identified within the tendon sheath of the long head of the biceps which may represent extension of fluid from the glenohumeral joint. ADDITIONAL
Degenerative changes with chronic appearing high grade rotator cuff tear and atrophy, as described above.