Left shoulder pain with decreased range of motion suggesting adhesive capsulitis. Evaluate for rotator cuff tear. Some sequences are slightly limited by patient motion artifact. ROTATOR CUFF: There is a small linear focus of intermediate signal intensity within the supraspinatus tendon anteriorly at its insertion on the greater tuberosity that may represent focal insertional tendinosis or perhaps a small "rim rent" -type tear of the articular surface fibers of the tendon. There is also intermediate signal intensity along the bursal surface fibers of the distal supraspinatus tendon suggesting tendinosis and/or fraying. However, I see no fluid-filled full-thickness rotator cuff tear. The supraspinatus muscle appears normal. The infraspinatus tendon and muscle appear normal. The teres minor tendon and muscle appear normal. The subscapularis tendon and muscle appear normal.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid in the subacromial/subdeltoid bursa, perhaps associated with the aforementioned bursal surface rotator cuff fraying.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. There is a small amount of fluid in the joint, but no effusion. Intermediate signal intensity within the superior labrum likely represents degeneration/degenerative tearing, but I see no fluid-filled labral tear. The glenohumeral joint otherwise appears normal for age.BICEPS TENDON: The tendon of the long head of the biceps appears normal. ADDITIONAL
Mild tendinosis, fraying and possibly partial-thickness tearing of the supraspinatus tendon as described above, but I see no full-thickness fluid-filled rotator cuff tear. Other findings as above.