Reason: Evaluate for rotator cuff repair, underwent previous single-row rotator cuff repair and AC resection History: Pain with overhead activities Suboptimal evaluation secondary to patient motion artifact.ROTATOR CUFF: Multiple foci of signal void are identified within the superior soft tissues of the shoulder indicating prior surgery. There is a tubular focus of signal void within the greater tuberosity presumably representing a suture anchor. There is increased signal intensity within the distal fibers of the supraspinatus tendon at its insertion on the greater tuberosity at the 12 o'clock position that is nonspecific and could represent insertional tendinosis or granulation tissue from prior tearing/surgery. This measures approximately 1 cm in the AP dimension. The distal fibers of the supraspinatus also appear thinned. There is a more focal fluid signal intensity defect within the bursal surface fibers of the supraspinatus tendon which may represent a small 2 to 3 mm tear, but we see no full-thickness fluid-filled tear. There is perhaps mild tendinosis of the infraspinatus, but otherwise the tendon and muscle appear intact. There is mild insertional tendinosis of the subscapularis. The tendon and muscle appear intact. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: A small anterior spur seen previously arising from the acromion process is no longer evident which may represent prior surgery. There is a small amount of fluid within the subacromial/subdeltoid bursa which is not necessarily of any clinical significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. No effusion is evident. The superior labrum appears attenuated which may represent a combination of degeneration and prior surgery.BICEPS TENDON: The tendon of the long head of the biceps is noted within the bicipital groove. The intra-articular portion of the tendon of the long head of the biceps appears thinned which may reflect attritional tearing or prior surgery.
Signal intensity within the distal fibers of the supraspinatus likely reflects a combination of tendinosis and undersurface fraying, but we see no full-thickness rotator cuff tear. Other findings as described above.