Reason: Outside Request: left shoulder pain; rotator cuff tear/impingement suspected History: ROTATOR CUFF: There is minimal increased signal abnormality within the distal supraspinatus indicating minimal tendinosis, essentially within normal limits. The supraspinatus muscle and tendon appear intact. The infraspinatus muscle and tendon appear intact. The teres minor muscle and tendon appear intact. There is superficial fraying of the articular surface fibers of the subscapularis at the level of its insertion on the lesser tuberosity. No full-thickness tear or retraction is evident. There is minimal fatty infiltration at the level of the myotendinous junction of the supraspinatus and infraspinatus.SUPRASPINATUS OUTLET: There is no fluid within the subacromial subdeltoid bursa. The acromioclavicular joint alignment is anatomic.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality within the anterior superior and inferior labrum indicating degeneration/degenerative tearing. No fluid-filled tear is evident within the limitations of this non arthrogram study.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is a small amount of circumferential fluid within the tendon sheath likely representing fluid extension from the joint. ADDITIONAL
Rotator cuff tendinosis tendinosis as well as superficial fraying of the subscapularis tendon without evidence of a full-thickness rotator cuff tear or retraction.