59-year-old female with pain. Evaluate for rotator cuff tear ROTATOR CUFF: There is a wavy appearance of the subscapularis tendon with surrounding edema and intermediate signal intensity of the tendinous fibers distally near their insertion site compatible with at least a partial thickness tear. The tendon of the supraspinatus muscle demonstrates a similar appearance and signal intensity near its insertion site. The tendons of the infraspinatus and teres minor muscles appear normal. There is generalized fatty infiltration and atrophy of the rotator cuff muscles.SUPRASPINATUS OUTLET: Degenerative changes affect the acromioclavicular joint with small amount of fluid within the joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Moderate degenerative changes affect the glenohumeral joint with subchondral cysts within the humeral head.. There is a small effusion within the glenohumeral joint and subscapular recess. There is also fluid present within the tendon sheath of the long head of biceps tendon. The glenoid labrum appears grossly normal. BICEPS TENDON: The long head of the biceps tendon is difficult to see proximally and may be dislocated. Distally the tendon is visualized and appears intact.ADDITIONAL
1. At least partial thickness tear of the subscapularis and supraspinatus tendons with generalized fatty atrophy and infiltration of the rotator cuff musculature.2. Findings are suspicious for displacement of the long head of the biceps tendon proximally.3. Degenerative changes affect the acromioclavicular and glenohumeral joint with a small joint effusion present extending to the subscapular recess.