61-year-old male with history of right shoulder pain. Evaluate for rotator cuff pathology. ROTATOR CUFF: There is a full thickness tearing of the anterior fibers of the supraspinatus tendon over a width of approximately 7 mm in the background of moderate to severe tendinosis. Posteriorly, there is partial thickness tearing . There is minimal retraction of the tendon. There is moderate to severe tendinosis of the infraspinatus with partial thickness tearing. There is moderate to severe tendinosis of the subscapularis with moderate fraying. The teres minor muscle and tendon are unremarkable.SUPRASPINATUS OUTLET: Moderate to severe degenerative disease affects the acromioclavicular joint with a small subacromial osteophyte that impinges the subjacent rotator cuff. There is no fluid in the subacromial or subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is extensive glenohumeral articular cartilage loss with near bone-on-bone apposition. There is degenerative tearing of the glenoid labrum.BICEPS TENDON: There is moderate tendinosis of the biceps tendon with partial thickness tearing just superior to where it enters the bicipital groove.ADDITIONAL
1.Full thickness tear of the anterior fibers of the supraspinatus.2.Moderate to severe tendinosis of the remaining rotator cuff with partial thickness tearing as above.3.Degenerative arthritic changes as above.