Male, 55 years old. Status post traumatic fall onto shoulder; suspect supraspinatus +/- infra tears. Shoulder pain, weakness ROTATOR CUFF: There is a full-thickness tear of the supraspinatus tendon with approximately 1 cm of retraction. The tear is between 1.5 and 2 cm in AP dimension with possible sparing of some of the posterior fibers of the tendon. There is thickening and increased signal intensity within the supraspinatus tendon proximally, likely representing a combination of retraction and tendinosis. The supraspinatus muscle appears normal. There is mild tendinosis of the distal infraspinatus tendon, and the infraspinatus muscle appears normal. The teres minor tendon and muscle appear normal. There is mild tendinosis of the subscapularis tendon but no tear, and the subscapularis muscle appears normal.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid in the subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is within normal limits. There is a small joint effusion. A focus of intermediate signal in the subscapularis recess may represent a cartilage fragment. There is degeneration and tearing of the superior labrum with juxtalabral cysts posteriorly.BICEPS TENDON: There is mild increased signal intensity within the intra-articular portion of the tendon of the long head of the biceps, suggesting mild tendinosis.
Full-thickness tear of the supraspinatus tendon and other findings as described above.