Right shoulder pain, positive impingement symptoms check for rotator cuff tear ROTATOR CUFF: Moderate thickening with minimal undersurface tearing and increased signal within the supraspinatus underlying the acromion and extending towards the attachment. Involvement is both anterior and posterior aspects of the tendon with identification of fibers extending throughout and no specific focal changes of retraction. More mild tendinopathy is observed in the infraspinatus towards the attachment without evidence of undersurface or intrasubstance focal abnormalities. Subscapularis and teres minor are normalSUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: Moderate osteoarthritic changes including narrowing, subchondral cysts and osteophytes most pronounced involving the glenohumeral articulation and humeral head. Mild globular signal observed in the anterior labrum without discrete focal additional changes within this limited nonaugmented exam.BICEPS TENDON: Bicep tendon is observed extending in the groove with poor visualization involving the horizontal component representing concern for mild tendinopathy.ADDITIONAL
Mild to moderate tendinopathy of the supraspinatus with more minimal changes of the infraspinatus as described. Questionable small loose bodies and associated similar changes of the biceps tendon. See detail providedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.