44-year-old male with shoulder pain. Evaluate for rotator cuff tendinopathy versus partial tear. ROTATOR CUFF: There is perhaps mild thickening and slight increased signal intensity of the insertional fibers of the supraspinatus tendon suggesting mild tendinosis, but we see no fluid-filled tear. The supraspinatus muscle is within normal limits. The infraspinatus tendon and muscle appear intact. The teres minor and subscapularis muscles and tendons appear intact. There is a subchondral cyst within the humeral head which is not necessarily of current clinical significance.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is mild anterior spurring of the acromion process. No fluid is identified within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. There is no joint effusion. Given the limitations of a non arthrogram study, the glenoid labrum appears normal. The articular cartilage of the shoulder appears within normal limits.BICEPS TENDON: Given the limitations of a non arthrogram study, the tendon of the long head of the biceps appears within normal limits.
Possible mild supraspinatus tendinosis at its insertion and minimal osteoarthritis of the acromioclavicular joint. We see no rotator cuff tear.