Pain in shoulder with movement. Rotator cuff tear? ROTATOR CUFF: The supraspinatus tendon and muscle appear normal. There is a small (2-3mm) focus of intermediate signal intensity within the articular surface fibers of the infraspinatus tendon at its insertion on the greater tuberosity that may represent focal tendinosis, a small ganglion/cyst or perhaps a small undersurface tear, and is associated with a tiny cyst in the underlying greater tuberosity. This signal abnormality involves less than 50% of the tendon thickness and is of questionable clinical significance. The infraspinatus muscle appears normal. The teres minor tendon and muscle appear normal. The subscapularis tendon and muscle appear normal.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. I see no fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. I see no effusion. Given the limitations of a non-arthrogram study, the glenoid labrum appears normal.BICEPS TENDON: The tendon to the long head of the biceps appears slightly attenuated, but otherwise normal given the limitations of a nonenhanced study. ADDITIONAL
1.2 to 3 mm rounded focus of increased signal intensity within the distal fibers of infraspinatus tendon at its insertion on the greater tuberosity may represent focal tendinosis, a small ganglion/cyst, or perhaps a tiny undersurface tear. Its clinical significance is uncertain, and the remainder of the rotator cuff is unremarkable.2.Mild osteoarthritis of the acromioclavicular joint and other findings as described above.