Reason: nurse aide who lifts pts suffered incr pain R shoulder after lifting heavy pt last week; pls eval persistent/worsened shoulder pain Some sequences are limited by patient motion artifact.ROTATOR CUFF: Intermediate signal intensity and thickening of the posterior fibers of the supraspinatus tendon and anterior fibers of the infraspinatus tendon indicating mild-to-moderate tendinosis. Relatively focal high signal intensity within the bursal surface fibers of the rotator cuff at the junction of the supraspinatus and infraspinatus, indicating interstitial tearing with possible extension to the bursal surface. This is situated approximately 1 cm proximal to the tendinous insertion on the greater tuberosity and is approximately 1 cm in longitudinal dimension and 5 mm in AP dimension. This tear involves less than 50% of the tendon thickness. We see no full-thickness rotator cuff tear. Supraspinatus and infraspinatus muscles appear normal without edema to suggest acute strain. Teres minor and subscapularis tendons and muscles are intact. SUPRASPINATUS OUTLET: AC joint appears normal. No frank fluid in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. No glenohumeral joint effusion. Evaluation of the labrum is limited on some sequences due to patient motion artifact. Given this limitation, we see no fluid-filled labral tear. There is a defect centrally within the glenoid with thinning of the overlying cartilage, which may represent an unusually large anatomic variant (bare area) or be degenerative in etiology as previously suggested. This appears similar to the prior study.BICEPS TENDON: Long head of the biceps tendon is intact. ADDITIONAL
1.Slightly limited study due to patient motion artifact.2.Rotator cuff tendinopathy and partial-thickness likely interstitial tear as described above.3.Defect centrally of the glenoid may represent an unusually large anatomic variant (bare area) or be degenerative in etiology as previously suggested. This appears similar to prior study. 