Reason: eval for rotator cuff pathology History: pain, limited ROM Several sequences are limited by patient motion artifact.ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus indicating tendinosis and perhaps mild articular surface fraying, but we see no discrete fluid-filled tear. The supraspinatus muscle appears normal. The infraspinatus muscle and tendon appear intact. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial/subdeltoid bursa which may reflect a mild bursitis.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. Mild osteoarthritis affects the glenohumeral joint. There is a small glenohumeral joint effusion. There is increased signal intensity within the superior labrum suggesting a tear. There is intermediate signal intensity within the anterior inferior labrum suggesting degeneration.BICEPS TENDON: There is mild increased signal intensity within the tendon of the long head of the biceps at its transition to the intertubercular groove suggesting mild tendinosis. There is fluid within the biceps tendon sheath that may represent fluid extension from the glenohumeral joint, rather than a tenosynovitis. ADDITIONAL
1. Tendinosis and possible articular surface fraying of the supraspinatus tendon.2. Small amount of fluid within the subacromial subdeltoid bursa which may reflect a mild bursitis.3. Mild osteoarthritis of the shoulder.4. Small glenohumeral joint effusion.5. Loss of the fat subjacent to the coracohumeral ligament which has been described in patients with adhesive capsulitis.