Right shoulder pain The examination is limited by motion artifact.ROTATOR CUFF: There is a full-thickness tear of the supraspinatus tendon with retraction to the level of the acromioclavicular joint. This tear extends posteriorly to involve the distal fibers of the infraspinatus tendon which also appear fully torn. There is moderate fatty atrophy of the supraspinatus muscle with mild fatty atrophy of the infraspinatus muscle. Large degenerative cysts are identified along the greater tuberosity. The teres minor tendon and muscle are normal. The teres minor tendon and muscle are intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Moderate osteoarthritis affects the glenohumeral joint. The humeral head is high riding secondary to the chronic rotator cuff tear. Evaluation of the glenoid labrum is limited due to the lack of intra-articular contrast however there is abnormal morphology and signal intensity of the superior labrum suggesting degenerative tearing.BICEPS TENDON: Evaluation of the biceps tendon is limited secondary to internal rotation. The intra-articular portion of the biceps tendon is poorly visualized likely reflecting a component of interstitial tearing.ADDITIONAL
1. Massive full-thickness rotator cuff tears involving the supraspinatus and infraspinatus tendons. There is mild to moderate fatty atrophy of the associated musculature.2. Degenerative tearing of the superior labrum with probable intra-articular tearing of the biceps tendon although this is unclear given the internal rotation of the patient.