Coronal T1WI, Fat-Sat T2WI, axial F

Coronal T1WI, Fat-Sat T2WI, axial Fat-Sat PdWI, and sagittal Fat-Sat T2WI of the left shoulder were obtained without contrast. Mild effusion, osteophytes, and capsular swelling of the left AC (acromioclavicular) joint are seen, consistent with moderate osteoarthritis.. The acromion is of normal configuration. Mild subacromial edema is seen. Mild edema of the supraspinatus and infraspinatus tendons is seen, without appreciable tear. A large patchy T2WI/T1WI hypointensity, about 23 x 12 x 4 mm in size, is seen at the supraspinatus tendon, suspicious for calcification.The teres minor tendon, subscapularis tendon, and long head biceps tendon appear intact. The glenohumeral cartilages and glenoid labrum are intact. Mild glenohumeral effusion and capsular swelling are seen, suggestive of capsulitis.There is otherwise normal alignment of the left shoulder without appreciable fracture, contusion, subluxation, or destruction. The muscles are intact. Impression: Moderate left AC joint osteoarthritis. Mild subacromial bursitis.Mild supraspinatus and infraspinatus tendinopathy.A probable large calcification at the supraspinatus tendon, suggest correlation with x-ray.Mild glenohumeral capsulitis.