Reason: 55 y/o F with positive Neer's test, tenderness of L shoulder, fall 3 months ago, eval for rotator cuff tear History: as above Some sequences are suboptimal secondary to patient motion artifact.ROTATOR CUFF: There is thickening and intermediate signal intensity within the supraspinatus indicating moderate tendinosis. The supraspinatus muscle and tendon appear intact. There is thickening and intermediate signal intensity within the infraspinatus indicating moderate to severe tendinosis. There is interstitial tearing of the infraspinatus at the level of the myotendinous junction. No full-thickness tear or retraction is identified. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is no significant fluid within the subacromial subdeltoid bursa. Mild osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. The glenoid labrum appears intact within the limitations of a non arthrogram study.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is thickening and intermediate signal intensity within the intra-articular portion of the tendon of the long head of the biceps indicating a mild tendinosis. ADDITIONAL
1. Rotator cuff tendinosis and interstitial tearing without evidence of a full-thickness rotator cuff tear or retraction.2. Infiltration of the subcoracoid fat is nonspecific but can be seen in patient's with adhesive capsulitis.