Pain and decreased range of motion. Assess rotator cuff status post fall on outstretched hand. ROTATOR CUFF: There are complete tears of the supraspinatus and infraspinatus tendons with up to 2 cm of retraction. A small stump of tendon remains attached to the posterior aspect of the greater tuberosity. Thickening and increased signal intensity of the retracted supraspinatus and interspinous tendons suggest underlying tendinosis. There is mild fatty infiltration of the supraspinatus and infraspinatus muscles. The teres minor muscle and tendon appear intact. Mild increased signal intensity within the distal fibers of the subscapularis tendon suggests mild tendinosis and possibly undersurface fraying, but I see no full-thickness tear of the subscapularis tendon, and the muscle is within normal limits.SUPRASPINATUS OUTLET: There is an os acromiale. Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a small to moderate-sized glenohumeral joint effusion. A small amount of fluid separates the anterior superior labrum from the underlying glenoid, but this may represent a normal variant, and I see no definite labral tear.BICEPS TENDON: There is thickening and increased signal intensity of the intra-articular portion of the tendon of long head of the biceps indicating moderate tendinosis. ADDITIONAL
Complete tears of the supraspinatus and infraspinatus tendons and other findings as described above.