69-year-old male presents with right shoulder pain. ROTATOR CUFF: Heterogeneity of the supraspinatus tendon likely representing a combination of degenerative tendinosis, calcification as seen on the prior radiographs, and mild inflammation. There is a defect along the bursal surface fibers of the supraspinatus measuring just under 1 cm in length and approximately 7 to 8 mm in AP dimension. The defect involves 50% of the tendon thickness indicating a focal bursal surface tear. There is additional mild fraying along the undersurface of the tendon. The supraspinatus muscle appears intact.The aforementioned tendinosis extends posteriorly to involve the anterior fibers of the infraspinatus, which otherwise appears normal. The infraspinatus muscle appears normal. Subscapularis and teres minor tendons and muscles are intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint resulting in mild impression upon the superior fibers of the supraspinatus. A small amount of fluid is present in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Small amount of fluid is present within the glenohumeral joint, but there is no large joint effusion. Mild osteoarthritis affects the glenohumeral joint. Intermediate signal intensity within the superior labrum likely reflects degeneration/degenerative tearing which extends into the anterior labrum. The posterior labrum appears blunted, but otherwise intact.BICEPS TENDON: Mild tendinosis of the tendon of the long head of the biceps from its transition from the rotator cuff interval to the intertubercular groove. ADDITIONAL
1. Partial-thickness bursal surface tear of the supraspinatus as described above with additional heterogeneity of the tendon likely reflecting a combination of degenerative tendinosis, calcification, and inflammation.2. Osteoarthritis and other findings as described above.