History of pain. Evaluate for recurrent rotator cuff tear. There is a metallic susceptibility artifact within the posteromedial aspect of the humeral head as well as additional metallic susceptibility in the soft tissues of the shoulder indicating prior surgery. ROTATOR CUFF: There is perhaps mild irregularity of the bursal surface fibers of the supraspinatus tendon that may represent fraying but we see no discrete supraspinatus tear. The supraspinatus muscle appears normal. The infraspinatus tendon is normal. There is minimal fatty atrophy along the myotendinous junction of the infraspinatus. The teres minor muscle and tendon appear intact. The subscapularis muscle and tendon appear intact.SUPRASPINATUS OUTLET: Minimal osteoarthritis affects the acromioclavicular joint. Trace fluid in the subacromial/subdeltoid bursa is of doubtful clinical significance. The coracoacromial and coracohumeral ligaments appear normal.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is normal. We see no joint effusion. Mild intermediate signal intensity in the superior labrum is visualized and may reflect degeneration but we see no discrete fluid-filled labral tear. Small cysts are seen within the superior aspect of the humeral head. BICEPS TENDON: The tendon of the long head of the biceps is visualized within the intertubercular groove but not clearly seen within the rotator interval, perhaps due to prior tenotomy or tear.
1. Postoperative changes as described above2. Possible mild fraying of the supraspinatus tendon but no discrete tear3. Additional degenerative changes as described above.