Reason: eval for rotator cuff pathology History: R shoulder pain Images are of slightly suboptimal quality, secondary to noise.ROTATOR CUFF: Mild intermediate signal within the undersurface fibers of the supraspinatus and infraspinatus tendons suggests mild tendinosis, and perhaps mild undersurface fraying. We see no discrete rotator cuff tear, however. The supraspinatus and infraspinatus muscles are within normal limits. The teres minor and subscapularis muscles and tendons are within normal limits.SUPRASPINATUS OUTLET: There is edema within the distal clavicle; while this may be degenerative in etiology, there is a band of low signal intensity traversing the distal end of the clavicle, which raises the possibility of a small stress fracture. We see no abnormal edema within the acromion. There is no fluid in the subacromial/subdeltoid bursa. The acromion morphology is type II.GLENOHUMERAL JOINT AND GLENOID LABRUM: Given the limitations of a non-arthrogram study, the labrum is unremarkable. The glenohumeral joint is within normal limits. There is no joint effusion.BICEPS TENDON: The biceps tendon is within normal limits. ADDITIONAL
1.Very mild rotator cuff tendinosis. No discrete rotator cuff tear is identified.2.Edema within the distal clavicle, while nonspecific, may represent a stress fracture in the correct clinical context.