Female 63 years old with right shoulder pain and difficulty raising arm. Evaluate for rotator cuff tear. The exam is somewhat limited due to patient motion.ROTATOR CUFF: A full-thickness tear of the supraspinatus tendon extends posteriorly where there is a partial thickness bursal surface tear of the infraspinatus tendon. The subscapularis and teres minor tendons are intact. Infraspinatus and supraspinatus muscles are atrophic. Fluid is present within the subacromial/subdeltoid bursa.SUPRASPINATUS OUTLET: There is fluid within the acromioclavicular joint and osteophyte formation indicating mild acromioclavicular joint osteoarthritis.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenoid labrum is grossly normal within the limits of a nonarthrogram exam. The glenohumeral joint is grossly normal.BICEPS TENDON: The long head of the biceps tendon is normally located within its groove and normal in appearance. ADDITIONAL
Full-thickness rotator cuff tear as described above.