63-year-old female with pain. Evaluate for rotator cuff tear. ROTATOR CUFF: There is a full-thickness near complete tear of the supraspinatus just proximal to the level of its insertion on the greater tuberosity measuring approximately 15 mm in AP dimension. There is approximately 12 mm of retraction of the proximal tendon fragment. There is also interstitial tearing of the supraspinatus at the level of the myotendinous junction. There is intermediate signal intensity within the supraspinatus indicating moderate tendinosis. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a small to moderate amount of fluid within the subacromial subdeltoid bursa. There are foci of low signal intensity internally suggestive of a bursitis. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Mild osteoarthritis affects the glenohumeral joint. There is heterogeneity and increased signal intensity within the anterior superior glenoid labrum indicating degeneration, within the limitations of this non arthrogram study.BICEPS TENDON: There is intermediate signal intensity within the intra-articular portion of the long head of the biceps tendon indicating a very mild tendinosis. The tendon appears intact. ADDITIONAL
1. Full-thickness near complete tear of the supraspinatus with minimal retraction as described above. Rotator cuff tendinosis.2. Very mild tendinosis of the long head of the biceps tendon.3. Findings suggestive of a subacromial subdeltoid bursitis.4. Mild osteoarthritis of the glenohumeral and acromioclavicular joints.