50-year-old female with shoulder pain. Evaluate cough. Suboptimal evaluation secondary to motion artifact and patient positioning.ROTATOR CUFF: There is intermediate signal intensity along the supraspinatus tendon near its insertion consistent with mild tendinosis. The tendon itself appears intact with no evidence of tearing. The supraspinatus muscle appears normal. The remaining rotator cuff tendons and muscles appear normal.SUPRASPINATUS OUTLET: There is an os acromiale with associated osteoarthritic changes affecting the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a small amount of fluid within the glenohumeral joint communicating with the long head of the biceps tendon in the intertubercular groove. There is also small small amount of fluid within the subacromial subdeltoid bursa. Osteoarthritic changes affect the glenohumeral joint with associated osteophyte formation. There is a tear along the anterior inferior labrum with an adjacent para labral cyst (series 3, image 15). There is absence of the anterosuperior labrum with a thickened middle glenohumeral ligament compatible with a Buford complex, normal variant. BICEPS TENDON: The long head of the biceps tendon is normally positioned in the intertubercular groove and demonstrates normal signal intensity. There is small amount of surrounding fluid within the tendon sheath communicating with the glenohumeral joint.ADDITIONAL
1. Anterior inferior labral tear with adjacent para labral cyst.2. Mild tendinosis affecting the supraspinatus tendon near its insertion.3. Os acromiale with associated degenerative changes at the acromioclavicular joint. Osteoarthritic changes also affect the glenohumeral joint.4. Cystic lesion within the posterior subcutaneous soft tissues, clinical correlation recommended.