Male 64 years old Reason: Left shoulder pain and decreased strength and motion, evaluate for massive rotator cuff tear. ROTATOR CUFF: The supraspinatus tendon appears normal. There is mild edema-type signal within the supraspinatus muscle belly concentrated along the myotendinous junction which is nonspecific but could represent a strain. The infraspinatus muscle and tendon appear normal. There is fatty atrophy of the teres minor muscle. The teres minor tendon is intact. There is increased signal intensity within the distal subscapularis tendon proximal to its insertion consistent with tendinosis but we see no discrete tear. The subscapularis muscle appears normal.SUPRASPINATUS OUTLET: Mild/moderate osteoarthritis affects the acromioclavicular joint. There is no fluid in the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. There is no joint effusion. Intermediate signal intensity within the anterior labrum may reflect degeneration or possibly a tear but we see no fluid entering the substance of the labrum.BICEPS TENDON: The tendon of the long biceps is intact.
1. Moderate fatty atrophy of the teres minor muscle which can be seen in patients with quadrilateral space syndrome although we see no mass in the quadrilateral space.2. Edema within the supraspinatus muscle may represent a strain but we see no rotator cuff tear.3. Other findings as described above.