Reason: right shoulder pain - r/o RTC tear History: pain. ROTATOR CUFF: Mild increased signal intensity within the supraspinatus and infraspinatus tendons indicating mild tendinosis. Additionally, there is a small subcentimeter linear focus of near fluid signal intensity within the supraspinatus tendon at approximately the 12:00 position, 1 cm proximal to its insertion, likely representing a small interstitial tear. We see no full-thickness tear or surface disruption. Mild atrophy of the supraspinatus and infraspinatus muscles along the myotendinous junction. Otherwise, the muscles appear intact. The teres minor tendon and muscle are intact. The subscapularis tendon and muscle are intact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial bursa of questionable significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. Mild thinning of the articular cartilage along the medial aspect of the humeral head suggests mild osteoarthritis. While there is no fluid signal intensity entering the glenoid labrum, intermediate signal intensity within the substance of the labrum may indicate some degeneration. No joint effusion.BICEPS TENDON: Given the limitations of a non-arthrographic study, the long head of the biceps tendon is normal.ADDITIONAL
1.Mild tendinosis and small interstitial tear of the supraspinatus tendon, but no full-thickness rotator cuff tear.2.Osteoarthritis of the acromioclavicular joint with small amount of fluid within the subacromial bursa.3.Minimal degenerative changes of the glenohumeral joint.