52-year-old female with shoulder pain with movement ROTATOR CUFF: Examination of the rotator cuff is limited due to patient body habitus. There is signal intensity within the bursal surface fibers of the supraspinatus tendon anteriorly at we suspect are present a combination of tendinosis and perhaps bursal surface fraying, but we see no discrete fluid-filled tear. The supraspinatus muscle is within normal limits. A streaky focus of increased signal intensity within the distal infraspinatus tendon may represent a vessel. No definite tear is visualized. The infraspinatus muscle is within normal limits. The teres minor tendon and muscle are intact. Increased signal intensity within the undersurface fibers of the subscapularis tendon suggests fraying and perhaps a tiny partial-thickness tear, but no full-thickness tear is evident. The subscapularis muscle is within normal limits.SUPRASPINATUS OUTLET: An os acromiale is noted. Mild osteoarthritis affects the acromioclavicular joint. GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. Evaluation of the labrum is limited due to non-arthrogram technique and body habitus but no abnormality is visualized.BICEPS TENDON: Increased signal intensity within the biceps tendon at its transition from the rotator interval to the bicipital groove may reflect partial thickness tearing. A small amount of fluid within the tendon sheath suggests mild tenosynovitis.
1. Limited exam demonstrating rotator cuff tendinosis and surface fraying without evidence of a full-thickness cuff tear. 2. Mild acromioclavicular joint osteoarthritis.3. Possible partial-thickness tearing of the tendon of the long head of the biceps and mild associated tenosynovitis.