59-year-old female with pain and limited mobility of the shoulder, rule out tear in the shoulder area ROTATOR CUFF: There is marked thinning of the anterior fibers of the supraspinatus tendon reflecting both articular and bursal surface tearing. At its thinnest, the tendon measures only 1 mm in thickness. This high-grade partial-thickness tear is approximately 1 cm in AP dimension. There appears to be delamination resulting in approximately 1 cm of proximal retraction of the articular and bursal surface fibers. More posteriorly, there is less pronounced articular surface tearing and bursal surface fraying with underlying tendinosis. There is fatty infiltration along the myotendinous junction of the supraspinatus, but more proximally the muscle appears normal. Mild tendinosis affects the infraspinatus tendon without a discrete tear. The subscapularis and teres minor tendons are intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint with spurring along the undersurface of the acromion. A trace amount of fluid is present in the subacromial bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthrosis affects the glenohumeral joint. There is deformity of the posterior superior labrum which likely represents degenerative tearing. There is also mild degenerative tearing of the anterior inferior labrum. A small amount of fluid is present in the glenohumeral joint, but no large effusion is present.BICEPS TENDON: There is mild increased signal intensity along the long head of the biceps at its transition into the intertrabecular groove, suggesting mild tendinosis.
1.High-grade partial-thickness tearing of the supraspinatus tendon involving both articular and bursal surfaces.2.Osteoarthritis and other findings as described above.