52-year-old female with shoulder pain. Evaluate rotator cuff. ROTATOR CUFF: There is full-thickness with near complete to complete rupture of the supraspinatus tendon, which is retracted by approximately 3.9 cm. There is also full-thickness tearing of the anterior fibers of the infraspinatus tendon. There is marked fatty atrophy of the supraspinatus, infraspinatus and teres minor muscles. There is thickening and increased signal abnormality affecting the subscapularis tendon consistent with tendinosis.SUPRASPINATUS OUTLET: Moderate degenerative changes affect the acromioclavicular joint. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Note is made of high riding humeral head. Severe degenerative changes affect the glenohumeral joint. There is heterogeneity and signal abnormality affecting the glenoid labrum consistent with degenerative tearing.BICEPS TENDON: There is a small amount of circumferential fluid within the tendon sheath of the long head of the biceps which may represent fluid extension from the glenohumeral joint. ADDITIONAL
Findings consistent with chronic-appearing complete tear of the rotator cuff with retraction and other findings as described above.