FINDINGS
The study reveals tendinosis of supraspinatus tendon with high grade partial thickness tear bursal surface at the footprint, measured about 1.3 cm transverse diameter and 1.2 cm AP-diameter. The articular surface of supraspinatus tendon is intact. No atrophic change or abnormal signal intensity of the supraspinatous muscle is noted.
There are tendinoses of infraspinatous and subscapularis tendons. The teres minor tendon is unremarkable. The infraspinatous, teres minor and subscapularis muscles show normal volume without abnormal signal intensity.
Long head of biceps brachii tendon within rotator interval is not visualized, corresponding with history of biceps tenotomy. The long head of biceps brachii tendon within bicipital groove shows small size with normal signal intensity.
There is increased signal intensity with abnormal contour of superior glenoid labrum at about 11 o’clock to 1 o’clock region. No evidence of paralabral cyst is noted.
The visualized glenohumeral ligaments, coracohumeral and coracoacromial ligaments are intact.
Thinning articular cartilage of the glenohumeral joint is noted.
There is evidence of post partial resection of undersurface of acromioclavicular joint with minimal fluid in the remaining joint together with bone marrow & soft tissue edema surrounding the surgical site.
There is evidence of post partial resection of anterolateral aspect of acromion process with adjacent bone marrow edema of the remaining acromion process.
No abnormal marrow signal intensity of the remaining scapula or proximal humerus is observed.
Minimal amount of fluid in glenohumeral joint and subacromial-subdeltoid bursa is observed. The spinoglenoid notch and quadrilateral space are unremarkable.
There is grade I muscular strain at the superolateral aspect of deltoid muscle.
No axillary mass is detected.