Pain and limited range of motion. Rule out rotator cuff tear. ROTATOR CUFF: There is increased signal intensity within the posterior fibers of the supraspinatus tendon indicating tendinosis that extends posteriorly to involve the anteriormost fibers of the infraspinatus tendon. There is perhaps mild bursal surface fraying as well. I see no full-thickness fluid-filled full-thickness tear. The supraspinatus muscle appears normal. There is perhaps mild atrophy of the infraspinatus muscle. The teres minor muscle and tendon appear normal. The subscapularis muscle and tendon appear normal.SUPRASPINATUS OUTLET: There is mild spurring of the anterior acromial process, but the acromioclavicular joint appears normal. There is a small amount of fluid in the subacromial bursa, of questionable clinical significance. The coracoacromial and coracohumeral ligaments appear intactGLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. There is a small amount of fluid within the glenohumeral joint but no frank effusion. Intermediate signal intensity within the superior labrum suggests a tear, of questionable clinical significance. The inferior labrum appears intact.BICEPS TENDON: The tendon of the long head of the biceps appears normal.
1. Rotator cuff tendinosis and perhaps bursal surface fraying but no full-thickness fluid-filled cuff tear is evident.2. Small amount of fluid in the subacromial bursa and probable superior labral tear of questionable current clinical significance.