48-year-old male with shoulder pain. Suboptimal examination secondary to inability to use a dedicated shoulder coil. A flex coil was utilized resulting in suboptimal image quality. Patient motion artifact limits examination.ROTATOR CUFF: There is a small partial-thickness insertional tear of the supraspinatus, measuring approximately 5 mm in the AP dimension, without significant retraction, involving less than one third of the tendon width. There is intermediate signal abnormality within the supraspinatus tendon consistent with mild tendinosis. The supraspinatus muscle appears intact. The infraspinatus and teres minor muscles and tendons appear intact. The subscapularis muscle and tendon appear intact.SUPRASPINATUS OUTLET: Again seen are postsurgical changes of prior distal clavicle osteotomy. Foci of metallic susceptibility artifact in the surrounding area are presumably postsurgical in etiology.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a small glenohumeral joint effusion with foci of low signal debris internally suggesting synovitis. Moderate to severe degenerative changes affect the glenohumeral joint. Although this examination was not protocoled for evaluation of the glenoid labrum, there is heterogeneity and increased signal abnormality within the posterior labrum suggestive of degenerative tearing.BICEPS TENDON: There is circumferential fluid within the tendon sheath of the long head of the biceps suggestive of a tenosynovitis versus fluid extension from the glenohumeral joint. There is a foci of decreased signal abnormality within the tendon sheath of the long head of the biceps likely represent loose bodies within the tendon sheath.ADDITIONAL
1. Small insertional tear of the supraspinatus without evidence of a full-thickness rotator cuff tear.2. Small glenohumeral joint effusion and findings suggesting synovitis.3. Loose bodies within the tendon sheath of the long head of the biceps. Other findings as described above.