Reason: eval for acute rtc tear History: weak pain 3d after overhead injury Suboptimal evaluation secondary to patient motion artifact and inability to optimally position the patient.ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus indicating mild tendinosis. There is perhaps mild superficial fraying of the articular surface fibers of the supraspinatus. The supraspinatus muscle and tendon otherwise appear intact. The infraspinatus and teres minor muscles and tendons appear intact. The subscapularis muscle and tendon appear intact. There are irregular foci low signal intensity along the anterior aspect of the bicipital groove which may represent a calcific tendinopathy of the subscapularis tendon (image 5; series 4).SUPRASPINATUS OUTLET: There is a trace amount of fluid within the subacromial subdeltoid bursa. Mild degenerative changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. The glenoid labrum appears intact within the limitations of a non arthrogram study. BICEPS TENDON: The tendon of the long head of the biceps appears intact ADDITIONAL
1. Rotator cuff tendinosis and superficial fraying without evidence of a full-thickness rotator cuff tear or retraction.2. Findings suggestive of calcific tendinopathy affecting the subscapularis as described above.3. Osteoarthritis of the shoulder.