Reason: cuff tear? History: pain ROTATOR CUFF: The supraspinatus muscle and tendon appear intact. There is a 4 mm linear focus of increased signal intensity at the insertion of the infraspinatus on the greater tuberosity, that is seen on only one image, which could represent a small undersurface tear, but this is equivocal and not necessarily of any clinical significance. The infraspinatus muscle appears intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is widening of the acromioclavicular joint, compatible with prior decompression surgery. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. There is a small amount of fluid within the glenohumeral joint, but no evidence of a large effusion. The superior labrum is blunted, but the inferior labrum appears intact.BICEPS TENDON: The patient has undergone a biceps tenodesis. ADDITIONAL
1. Surgical changes of acromioclavicular joint resection. Nonvisualization of the biceps tendon reflects a tenodesis.2. Equivocal tiny insertional tear of the infraspinatus, which may not be of any clinical significance. The rotator cuff is otherwise unremarkable.3. Blunting of the superior labrum may also be postoperative in etiology.