Reason: concern for rotator cuff tear History: pain. ROTATOR CUFF: Minimal increased signal intensity within the distal fibers of the supraspinatus tendon suggests very mild tendinosis, but we see no discrete tear. Mild edema type signal intensity within the underlying greater tuberosity is likely reactive in etiology. The supraspinatus muscle is within normal limits.Minimal increased signal intensity within the distal anterior fibers of the infraspinatus tendon suggests very mild tendinosis, but we see no discrete tear. The muscle is within normal limits.The teres minor tendon and muscle are normal.The subscapularis tendon and muscle are normal.SUPRASPINATUS OUTLET: The acromioclavicular joint appears slightly widened, which may reflect prior surgery or old trauma. There is a small amount of fluid within the subacromial/subdeltoid bursa, which may reflect a mild bursitis.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. No joint effusion. Although we see no fluid entering the glenoid labral substance, intermediate signal intensity within the superior labrum likely reflects degeneration or degenerative tearing. The inferior labrum is intact. The articular cartilage is intact.BICEPS TENDON: Given the limitations of a non-arthrographic study, the tendon of the long head of the biceps appears normal.
1.Very mild rotator cuff tendinosis but no rotator cuff tear is evident.2.Widened acromioclavicular joint may reflect prior surgery or old trauma. Small amount of fluid in the subacromial/subdeltoid bursa is of questionable significance, but could represent a mild bursitis.3.Mild intermediate signal intensity in the superior labrum may reflect degeneration or degenerative tearing.