Shoulder pain The examination is limited secondary to motion artifact.ROTATOR CUFF: There is undersurface fraying and mild tendinosis of the supraspinatus tendon although no fluid-filled discrete tear is identified. There is tendinosis of the infraspinatus tendon at its insertion on the greater tuberosity but again no fluid-filled tear is identified. There is suggestion of focal undersurface tearing of the subscapularis tendon at its insertion which appears new from the prior exam but no full-thickness tear is identified. The teres minor tendon is intact. The corresponding rotator cuff musculature is normal in volume and signal.SUPRASPINATUS OUTLET: There is moderate osteoarthritis of the acromioclavicular joint with impression upon the superior fibers of the supraspinatus. A trace amount of fluid is noted in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Evaluation of the labrum is limited secondary to motion and lack of intra-articular contrast however there is suspected age-related degeneration and degenerative tearing of the superior labrum. There is a small glenohumeral joint effusion with extension to the subscapular recess. There is mild osteoarthritis of the glenohumeral joint.BICEPS TENDON: There is fluid again noted within the tendon sheath of the long head of the biceps which may reflect tenosynovitis and/or extension of glenohumeral joint fluid. Overall this is similar to the prior exam. Otherwise evaluation of the intra-articular portion of the biceps tendon is limited secondary to motion and lack of intra-articular contrast. ADDITIONAL
1. Limited examination secondary to motion artifact.2. Partial-thickness insertional tearing of the subscapularis tendon with additional rotator cuff tendinosis further detailed above. There is no evidence of a full-thickness rotator cuff tear.3. Osteoarthritis of the shoulder.4. Fluid within the biceps tendon sheath which could reflect tenosynovitis.5. Additional findings detailed above.