68-year-old female with pain, evaluate for rotator cuff tear ROTATOR CUFF: There is diffuse thickening and increased signal intensity of the supraspinatus tendon, indicating moderate to severe tendinosis. We see no fluid signal intensity within the tendon to indicate a tear, although there may be mild associated undersurface fraying. The supraspinatus muscle is within normal limits. Cysts are noted within the underlying humeral head. Similar tendinosis also affects the distal infraspinatus tendon without discrete tear. The infraspinatus muscle is within normal limits. The teres minor tendon and muscle appear normal. There is mild thickening of the distal subscapularis tendon consistent with mild tendinosis. The subscapularis muscle appears normal. SUPRASPINATUS OUTLET: Mild osteoarthritis affects the AC joint. Trace fluid is present within the subacromial-subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is within normal limits. There is a small collection of fluid signal intensity along the anteroinferior margin of the glenoid with mild signal abnormality within the adjacent bone. There is also mild increased signal intensity within the adjacent anteroinferior labrum, which may represent a focal tear, although this is equivocal. The superior labrum and superior half of the posterior labrum are attenuated, perhaps from longstanding degenerative tearing. No joint effusion.BICEPS TENDON: There is thickening and increased signal intensity in the tendon of long head of the biceps at its transition from the rotator interval to the intertubercular sulcus indicating moderate tendinosis.
1. Moderate to severe tendinosis of the rotator cuff and biceps tendon without discrete tear.2. Additional degenerative arthritic changes as described above.