Right shoulder pain and weakness. Concern for rotator cuff tear. ROTATOR CUFF: There is a complete tear of the supraspinatus tendon with retraction to the glenohumeral joint. There is moderate atrophy of the supraspinatus muscle. There is also a near-complete to complete tear of the infraspinatus tendon with retraction of fibers to the level of the glenohumeral joint although some fibers inferiorly may extend to the greater tuberosity. There is severe fatty atrophy of the infraspinatus muscle. The teres minor muscle and tendon are normal. The subscapularis tendon is thickened indicating tendinosis. The subscapularis muscle appears normal. SUPRASPINATUS OUTLET: Moderate to severe osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid in the subacromial/subdeltoid bursa with mild infiltration of fluid into the undersurface of the deltoid muscle. The humeral head is high riding, nearly abutting the undersurface of the acromion. GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a moderate sized joint effusion with mild osteoarthritis of the glenohumeral joint. There is degeneration of the glenoid labrum. Small foci of intermediate signal within the glenohumeral joint likely represent synovial or cartilaginous debris. BICEPS TENDON: The tendon of the long head of the biceps within the rotator interval appears thickened and poorly defined, likely representing tendinosis and degenerative tearing. The extra-articular portion of the tendon is situated within the bicipital groove.
Rotator cuff tear and other findings as described above.