Reason: RCT? History: pain Slightly suboptimal evaluation secondary to metallic susceptibility artifact related to the patient's history of prior rotator cuff repair.ROTATOR CUFF: There is linear increased signal abnormality within the distal supraspinatus tendon approximately 1 cm proximal to its insertion on the greater tuberosity measuring approximately 7 mm in AP dimension. This likely represents a near full-thickness bursal surface tear which is partially filled with granulation tissue, although focal tendinosis is also a possibility. There is also increased signal abnormality within the anterior fibers of the infraspinatus indicating a partial-thickness tear involving less than 50% of the tendon width measuring approximately 6 to 8 mm in the AP dimension. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a moderate amount of fluid within the subacromial subdeltoid bursa. There are foci of low signal intensity debris internally which may represent a bursitis. Moderate osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Moderate osteoarthritis affects the glenohumeral joint. There is heterogeneity and increased signal intensity within the superior and anterior glenoid labrum likely representing a combination of degeneration and degenerative tearing. There is a small glenohumeral joint effusion.BICEPS TENDON: Note is made of postsurgical changes of a prior biceps tenodesis. ADDITIONAL
1. Postsurgical changes of prior rotator cuff repair with findings likely representing a high grade near full-thickness tear of the supraspinatus although focal tendinosis is a consideration. 2. Rotator cuff tendinosis and partial thickness tearing of the infraspinatus as described above. Other findings as described above.