Pain, assess for rotator cuff injury ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus tendon and anterior portion of the infraspinatus tendon indicating tendinosis. The increased signal extends to the bursal and to a lesser degree the articular surface fibers suggesting fraying. No full-thickness fluid-filled rotator cuff tear is identified. Muscle bulk and signal of the infraspinatus and supraspinatus muscles are within normal limits.The teres minor and subscapularis tendons are intact with the muscles demonstrating normal bulk and signal intensity.SUPRASPINATUS OUTLET: There is minimal osteoarthritis of the acromioclavicular joint. Small amount of fluid is noted in the subacromial/subdeltoid bursa, not necessarily of any clinical significance. GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is normal. No glenohumeral joint space effusion.There is increased signal intensity in the labrum suggestive of a SLAP tear. Separation of the anterior superior labrum from the glenoid could represent an extension of the SLAP tear versus a normal variant sublabral foramen.BICEPS TENDON: The intra-articular and extra articular portion of the biceps tendon are within normal limits.
1. Rotator cuff tendinosis and fraying without full thickness tear.2. Mild AC joint osteoarthritis.3. Findings suggestive of superior labral tear.