Decreased range of motion, check for cuff injury Mild osteoarthritic changes, largely involving the glenohumeral articulation. Mild sclerosis and small osteophytes. The overall shape of the humeral head appears grossly intact, however mild rotation of the shoulder on the AP projection creates a mild distortion. Specifically no superimposed acute abnormality observed. Acromiohumeral distance is within normal range, allowing moderate sensitivity for chronic rotator cuff injury, however in less acute or subacute injury. MRI can be considered if suspicion remains high and further characterization is needed.Incomplete visualization of marked scoliosis and distortion of the upper thoracic spine, consider dedicated imaging, yet grossly unchanged from 2014 imaging.
Mild shoulder osteoarthritis with more pronounced degenerative and alignment changes involving the lower cervical and upper thoracic spine, incompletely visualized.