54-year-old female with pain. Evaluate for rotator cuff tear. ROTATOR CUFF: There is a small interstitial insertional tear within the supraspinatus at the level of its insertion on the greater tuberosity. There is thickening and intermediate signal intensity within the supraspinatus indicating moderate tendinosis. No full-thickness rotator cuff tear is evident. There is diffuse fatty infiltration of the imaged musculature of the rotator cuff, appearing similar to minimally progressive compared to the prior study. The infraspinatus tendon appears intact. The subscapularis and teres minor tendons appear intact.SUPRASPINATUS OUTLET: There is no significant fluid within the subacromial subdeltoid bursa. Moderate osteophytic changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. The glenoid labrum is normal in appearance within the limitations of this non arthrogram study.BICEPS TENDON: The tendon of the long head of the biceps appears intact. ADDITIONAL
1. Small insertional tear of the supraspinatus as described above without evidence of full-thickness rotator cuff tear or retraction.2. Interval resolution of the previously described foci of bone marrow signal abnormality within the proximal humerus.3. Diffuse fatty infiltration of the musculature of the rotator cuff which appears similar to minimally progressed when compared to the prior study.