Reason: rule out rotator cuff tear History: left shoulder pain, mild swelling, after lifting motion Motion artifact limits multiple sequences.ROTATOR CUFF: There is a complete tear of the supraspinatus with retraction of the tendon to the level of the glenohumeral joint. This tear extends posteriorly to involve the majority of the infraspinatus tendon, although a small portion of the tendon appears to extend to the greater tuberosity. There is moderate fatty atrophy of the supraspinatus and infraspinatus muscles. There also appear to be small ossicles within the infraspinatus tendon. The teres minor muscle and tendon appear intact. There is also a full-thickness tear of the majority of the subscapularis tendon, although a small portion of the tendon may attach to the lesser tuberosity, inferiorly. There is severe atrophy of the subscapularis muscle.SUPRASPINATUS OUTLET: Severe 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. There is fluid and intermediate signal intensity within the joint likely representing a synovitis as well as debris. Additional better defined foci of low signal intensity within the joint likely represent loose bodies. There is degenerative tearing of the glenoid labrum.BICEPS TENDON: The tendon of the long head of the biceps is not clearly identified within the bicipital groove, proximally, likely reflecting rupture. There are several loose bodies noted within the bicipital groove. ADDITIONAL
Massive rotator cuff tear, arthritis, and other findings as described above.