Female 44 years old with right shoulder pain and limited range of motion. Evaluate for rotator cuff tear, labral tear, adhesive capsulitis. ROTATOR CUFF: There is thinning of the supraspinatus tendon just proximal to its insertion with irregularity of the undersurface fibers indicating partial thickness tearing involving less than 50% of the tendon thickness. Although we see no discrete full-thickness tear, there is mild diffuse increased signal intensity within the distal 1 cm supraspinatus tendon anteriorly with a small amount of gadolinium in the overlying subdeltoid bursa suggesting a full-thickness perforation of the tendon that is below the resolution of this study. We see no tendon retraction. The supraspinatus muscle appears normal. The infraspinatus, teres minor and subscapularis tendons and muscles appear normal.SUPRASPINATUS OUTLET: The acromioclavicular joint appears normal. Again seen is a small amount of gadolinium in the subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. There may be a tiny articular cartilage defect along the anterior glenoid but this is equivocal. We see no labral tear.BICEPS TENDON: The tendon of the long head of the biceps is perhaps slightly perched on the lesser tubercle but otherwise appears normal. ADDITIONAL
1.Although we see no discrete full-thickness rotator cuff tear, increased signal intensity in the distal supraspinatus tendon along with gadolinium in the subdeltoid bursa suggests a perforation that is beneath the resolution of this study. There is also partial-thickness tearing of the undersurface supraspinatus tendon fibers more proximally.2.Other findings as described above.