Hi Michael,
There is certainly a small deposit of calcific tendinosis (hydroxyapatite) , however it is fairly small and I am not sure it is going to be causing the dramatic symptoms you describe.
The bursa is certainly very thick with bursitis.
I am not convinced about a subscapularis tear on your images.
Did they have any component of a frozen shoulder (adhesive capsulitis) clinically?
Sometimes when there is a hydroxyapatite deposit in a rotator cuff tendon it can leak out into the bursa. This creates an acute bursitis that is very painful. This would be another option.
Steve