Left shoulder pain Examination is limited by motion artifactROTATOR CUFF: There is high-grade near full-thickness to full-thickness tearing of the distal fibers of the supraspinatus without significant retraction and a few fibers of the supraspinatus appear to insert upon the greater tuberosity. This tearing appears to extend posteriorly to involve a portion of the anterior fibers of the infraspinatus. There is mild fatty atrophy along the myotendinous junction of the supra and infraspinatus muscles. The teres minor tendon and muscle and the subscapularis tendon and muscle are intact. The distal fibers of the infraspinatus appear intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Degenerative tearing of the superior labrum is noted. Alignment of the glenohumeral joint is anatomic.BICEPS TENDON: The biceps tendon is not visualized within the intertubercular groove consistent with tearing.ADDITIONAL
1. High-grade near full-thickness to full-thickness tearing of the supraspinatus with possible extension posteriorly to involve some anterior fibers of the infraspinatus. There is mild fatty atrophy of both the supra and infraspinatus muscles.2. Ruptured biceps tendon.3. Trace amount of heterogeneous joint fluid likely indicating mild synovitis.