Male 47 years old Reason: Shoulder pain possible RC tear. Motion artifact as well as internal rotation of the humeral head degrades image quality within multiple sequences which limits interpretation.ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus tendon consistent with moderate tendinosis. There is full thickness tearing of the supraspinatus tendon with retraction of approximately 2.0 cm and some intact posterior fibers. There is atrophy of the supraspinatus muscle at the myotendinous junction subjacent to the acromioclavicular joint. There is intermediate signal intensity within the infraspinatus tendon consistent with moderate tendinosis and small foci of interstitial tearing. The teres minor tendon and muscle are unremarkable. There is diffuse thickening and intermediate signal within the subscapularis tendon, most marked in the superior tendon fibers consistent with tendinosis.SUPRASPINATUS OUTLET: There is an os acromiale with a small hook osteophyte on the lateral margin of the ossicle. Moderate/severe osteoarthritis affects the acromioclavicular joint. There is trace fluid in the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. The labrum is diminutive but appears grossly intact within the limitations on this non-arthrographic study.BICEPS TENDON: There is diffuse thickening and intermediate signal within the long head of the biceps tendon consistent with tendinosis.ADDITIONAL
1. Full thickness tearing of the supraspinatus tendon on a background of moderate tendinosis. 2. Infraspinatus, subscapularis and long head of the biceps tendinosis.3. Osteoarthritis of the acromioclavicular joint.4. Other findings as described above.