Reason: r/o RCT History: r/o RCT ROTATOR CUFF: Intermediate signal intensity within the supraspinatus tendon indicates moderate degenerative tendinosis and likely surface fraying, particularly along the bursal surface. Although we see no fluid signal intensity within the tendon to indicate a fluid-filled tear, approximately 1cm proximal to the tendinous insertion on the greater tuberosity there is a 6mm region of intermediate signal intensity extending through the full thickness of the tendon with no discrete fibers observed at this location, which could either represent focal tendinosis or a focal full thickness tear filled with granulation tissue (series 13, image 11). There is mild atrophy of the supraspinatus muscle along the myotendinous junction, but otherwise the muscle appears normal. The aforementioned tendinosis and surface fraying extends posteriorly to involve the anterior fibers of the infraspinatus tendon, with what appears to be a small (4mm) insertional undersurface tear with edema in the underlying humeral head. The infraspinatus muscle is unremarkable. There is mild tendinosis and perhaps interstitial tearing of the subscapularis tendon, but the muscle is unremarkable. There are small cysts in the underlying humeral head that are likely degenerative. The teres minor muscle appears normal.SUPRASPINATUS OUTLET: There is heterogeneous signal intensity within the subacromial/subdeltoid bursa on fluid-sensitive sequences indicating a moderate bursitis. GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a moderate glenohumeral joint effusion with heterogeneous fluid in the subscapular recess likely reflecting synovitis. There is mild increased signal intensity and irregularity of the glenoid, but no discrete tear.BICEPS TENDON: Fluid and synovitis from the glenohumeral joint extends into the biceps tendon sheath but the tendon itself is unremarkable. ADDITIONAL
1.Subacromial/subdeltoid bursitis and glenohumeral joint effusion/synovitis as above.2.Rotator cuff tendinosis and surface fraying as described above. Although we see no fluid-filled supraspinatus tendon tear, focal intermediate signal intensity within the supraspinatus tendon could either represent focal tendinosis or a small full thickness tear filled with granulation tissue. There also appears to be a small undersurface insertional tear of the infraspinatus.3.Other findings as above 