Pain. Rotator cuff tear? Impingement syndrome. Evaluation of several sequences is limited by patient motion artifact.ROTATOR CUFF: The rotator cuff tendons and muscles appear normal for age.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is prominent edema within the distal clavicle associated with a curvilinear band of subchondral low signal intensity. This may be degenerative in etiology, although could represent a stress reaction in the correct clinical context. There is trace fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint is within normal limits. There is a small amount of fluid within the joint but no large effusion. Intermediate signal intensity within the superior labrum likely represents degenerative tearing that extends into the anterior labrum as well.BICEPS TENDON: Given the limitations of a non-arthrogram study, the tendon of the long head of the biceps appears normal.
1.The rotator cuff appears normal for age.2.Mild osteoarthritis of the acromioclavicular joint. Edema within the distal end of the clavicle may be degenerative in etiology, but could also represent a stress reaction ("posttraumatic edema/osteolysis of the distal clavicle") in the correct clinical context.3.Degeneration of the glenoid labrum.