Reason: RCT History: pain ROTATOR CUFF: There is increased signal intensity within the supraspinatus indicating moderate tendinosis. Additionally, there is focal fluid signal intensity replacing the undersurface fibers of the supraspinatus at its insertion on the greater tuberosity indicating a partial thickness insertional tear. This tear involves under 50% of the tendon thickness and measures only 3 mm in the AP dimension. There is a cyst within the underlying greater tuberosity. We see no full-thickness rotator cuff tear. The aforementioned tendinosis extends posteriorly to involve the anterior fibers of the infraspinatus, but the infraspinatus otherwise appears normal. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial/subdeltoid bursa containing foci of low signal intensity that may reflect a chronic synovitis, debris, or perhaps calcification, which could be better visualized on radiographs.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. Given the limitations of a non arthrogram study, the glenoid labrum appears normal.BICEPS TENDON: There is increased signal intensity within the tendon of the long head of the biceps at its transition from the rotator interval to the intertubercular sulcus suggesting tendinosis and partial-thickness tearing.ADDITIONAL
1. Rotator cuff tendinosis with focal partial-thickness undersurface insertional tear of the supraspinatus as described above.2. Tendinosis and possible partial-thickness tearing of the tendon of the long head of the biceps at its transition from the rotator interval to the intertubercular sulcus.3. Small amount of fluid within the subacromial subdeltoid bursa containing foci of low signal intensity that may reflect debris, chronic synovitis, or calcification.