Reason: R/o rotator cuff tear History: pain and weakness ROTATOR CUFF: There is complete rupture of the supraspinatus tendon at the level of its insertion on the greater tuberosity with approximately 3 cm of retraction of the proximal tendon fragment. There is extension of this tearing involve the anterior fibers of the infraspinatus. There is thickening and intermediate signal intensity within the infraspinatus and supraspinatus tendons indicating moderate tendinosis. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa confirming a full-thickness tear. Moderate osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthritis affects the glenohumeral joint. There is intermediate signal intensity within the superior labrum which may represent degeneration.BICEPS TENDON: There is thickening of the intra-articular portion of the tendon of the long head of the biceps indicating a mild tendinosis. The tendon itself appears intact. Tiny foci of decreased signal abnormality within the tendon sheath of the long head of the biceps may represent loose bodies or debris related to a tenosynovitis.ADDITIONAL
1. Complete tear of the supraspinatus with retraction. This tear extends to involve the anterior fibers of the infraspinatus. Tendinosis of the rotator cuff particularly involving the supraspinatus and infraspinatus tendons2. Osteoarthritis of the shoulder. 3. Mild tendinosis of the tendon of the long head of biceps and other findings as described above.