Reason: eval cuff, glenohumeral joint History: pain Exam is limited by motion artifact.ROTATOR CUFF: Moderate tendinosis of the supraspinatus tendon with full-thickness tear at the insertion. There is small amount of fluid in the subacromial bursa. There is moderate tendinosis of the infraspinatus muscle. There is severe tendinosis of the subscapularis tendon with some intact fibers.SUPRASPINATUS OUTLET: Note is made of an os acromiale, a normal variant, with associated edema and degenerative change.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is anatomic. There is serpiginous signal abnormality in the head of the humerus, compatible avascular necrosis. There are multiple degenerative cyst in the glenoid. The labrum appears degenerative. There is moderate joint effusion with debris suggestive of synovitis. There are bone marrow changes likely due to anemia secondary to renal failure. BICEPS TENDON: Long head of the biceps is not well seen intra-articularly. ADDITIONAL
1. Avascular necrosis of the humeral head.2. Full-thickness tear of the supraspinatus tendon at the insertion.3. Moderate glenohumeral joint effusion with debris suggestive of synovitis.4. Mild osteoarthritis with degenerative labrum.5. Poorly visualized intra-articular long head of the biceps tendon.