PAIN, ROTATOR CUFF TEAR ROTATOR CUFF: Focal fluid intensity replaces supraspinatus tendon at its insertion indicating tear. The tear involves the bursal surface fibers and majority of the tendon thickness with possible sparing of the articular surface fibers. There is approximately 5 mm of retraction of the bursal surface fibers. Tear measures approximately 7 mm in AP dimension. Thickening and increased signal of the remaining supraspinatus tendon indicating moderate tendinosis. Mild atrophy of the supraspinatus muscle. Moderate tendinosis also affects the infraspinatus tendon with small foci of fluid along the myotendinous junction, indicating interstitial tearing. Mild to moderate atrophy of the infraspinatus muscle.Teres minor muscle and tendon are intact. Subscapularis muscle and tendon are intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the right AC joint. Small amount of fluid in the subacromial/subdeltoid bursae.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is within normal limits. Increased signal intensity in the superior labrum suggestive of intrasubstance degeneration but no definite tear.BICEPS TENDON: Increased signal of the long head of the biceps tendon as it courses through the rotator interval suggestive of tendinosis and possibly partial thickness tearing.
1.Focal high-grade insertional tear of the supraspinatus tendon involving the bursal surface fibers.2.Rotator cuff and biceps tendinosis. Other findings as described above.