58-year-old male with shoulder pain. Evaluate rotator cuff. Evaluation is limited by patient motion artifact.ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus tendon just proximal to its insertion, suggestive of focal tendinosis, but we see no discrete tear. There is mild diffuse increased signal intensity of the supraspinatus muscle belly on the fluid sensitive sequences that could represent mild edema or early atrophy. There is very mild fatty infiltration along the myotendinous junction and perhaps slight loss of muscle volume. We see no masses within the suprascapular notch. The infraspinatus tendon appears intact, however, there is mild increased signal intensity within the infraspinatus muscle belly on fluid sensitive sequences, suggestive of edema or early atrophy. There is mild fatty infiltration along the myotendinous junction and perhaps mild muscle volume loss. The teres minor and subscapularis muscles and tendons are within normal limits.SUPRASPINATUS OUTLET: There is deformity of the distal clavicle compatible with the patient's history of a healing fracture. The distal clavicle is perhaps slightly elevated relative to the acromion. There is a trace amount of fluid within the subacromial/subdeltoid bursa of questionable clinical significance. The coracoclavicular ligament is thickened and heterogeneous which appears to correspond to posttraumatic calcification seen in the accompanying radiographs. There is mild edema within the medial aspect of the coracoid process at its base which may be related related to ligamentous injury or a healing fracture.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. There is a small amount of fluid within the joint without a frank joint effusion. There is increased signal within the superior labrum suggesting degeneration/tearing. The inferior labrum is grossly intact.BICEPS TENDON: The tendon of the long head of the biceps is intact.
1. Healing clavicle fracture and other posttraumatic findings as described above.2. There is mild supraspinatus tendinosis without evidence of rotator cuff tear. Mild edema-type signal abnormality within the supraspinatus and infraspinatus muscles. The muscle volumes appear slightly decreased which could represent early atrophy. We see no mass within the suprascapular notch. The possibility of Parsonage-Turner syndrome is also considered. 3. Heterogeneity of the superior labrum suggestive of degeneration/tearing.