64-year-old male patient with left shoulder pain and concern for rotator cuff tear. Note that the examination is limited, as patient refused to continue and no sagittal T2 images were obtained. Also note that there are numerous foci of blooming metallic artifact about the shoulder joint.ROTATOR CUFF: Limited examination with a full thickness tear of the supraspinatus tendon at its insertion measuring approximately 3 mm in AP dimension. There is no associated retraction of the tendon, however, there is moderate atrophy of the supraspinatus muscle. Moderate tendinopathy affects the supraspinatus tendon at its insertion. The subscapularis, infraspinatus, and teres minor muscles and tendons appear within normal limits given this limited examination.SUPRASPINATUS OUTLET: There is increased T1 signal intensity within the rotator interval.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is irregularity of the anterior and posterior labrum, compatible with degenerative changes. There are numerous screws seen in the humeral head.BICEPS TENDON: The proximal biceps tendon is not well seen. The distal biceps tendon appears grossly within normal limits. ADDITIONAL
1.Limited examination due to patient's refusal to complete all sequences.2.Full-thickness tear of the supraspinatus tendon with moderate muscle atrophy and tendinopathy.3.Postsurgical changes in the humeral head.4.Irregularity of the anterior and posterior labrum, compatible with degenerative changes.5.Increased signal in the rotator interval and questionable thickening of the inferior glenohumeral ligament may represent adhesive capsulitis in the appropriate clinical setting.