would this require surgery or pt?

EXAM: MRI UP EXT ANY JT W/O LT, 10/15/2015 2:27 PM

COMPARISON: Left shoulder radiographs, 09/30/2015.

INDICATION: Left shoulder pain. The technologist elicited the
history of pain radiating into the base of the skull.

TECHNIQUE: 6 pulse sequences were obtained using multiecho,
multiplanar technique.

FINDINGS: Small amount of fluid is identified in the subcoracoid
bursa. A partial tear of the subscapularis tendon is noted. The
remaining rotator cuff tendons appear within normal limits. Mild
signal alterations are identified in the insertion of the biceps
tendon. A questionable tear of the rotator interval may be present.
The muscle and marrow signal intensity is within normal limits. No
muscle retraction is noted. The glenoid labra appear intact.

Impression
Partial tear subscapularis tendon.

Subcoracoid effusion/bursitis.

Biceps tendinosis.

Questionable rotator interval tear.

XA

right shoulder same question surgery or pt?

EXAM: MRI UP EXT ANY JT W/O RT, 11/12/2015 11:00 AM

COMPARISON: Right shoulder radiographs, 09/30/2015.

INDICATION: Right shoulder pain. The technologist elicited the
history that the patient's shoulder begins hurting after scrubbing
floors on 1st of August. Pain is all over with no weakness.

TECHNIQUE: 6 pulse sequences were obtained using multiecho,
multiplanar technique.

FINDINGS: A benign-appearing bone cyst is identified involving the
anterior humeral head. Degenerative bone changes with subchondral cyst
formation are noted near the bicipital groove. The rotator cuff and
biceps tendons are intact with normal-appearing signal. The rotator
interval also appears intact. The muscle and marrow signal intensity
demonstrates no gross abnormalities. The distal clavicle produces mass
effect upon the superior portion of the supraspinatus muscle near the
myotendinous junction. A partial tear may be present involving the
superior anterior glenoid labrum. The remaining glenoid labrum appear
intact. No abnormal effusions are seen.

Impression
Findings suspicious for partial tear, superior anterior glenoid
labrum.

Distal clavicle mass effect upon the supraspinatus muscle nerve
myotendinous junction.

Humeral head degenerative bone changes with subchondral cyst formation
and a benign-appearing humeral head cyst. See above.

XA