76-year-old female with left shoulder pain. Reevaluation to determine with there is now a full-thickness rotator cuff tear. ROTATOR CUFF: Again seen is increased signal intensity within the distal supraspinatus tendon near its insertion at the greater tuberosity with associated foci of increased signal within the articular and bursal surfaces compatible with partial tear of the supraspinatus tendon. Similar findings are present within the infraspinatus with no evidence of full-thickness tear. There is increased fatty atrophy of the supraspinatus muscle from prior study as well as mild fatty atrophy of the infraspinatus muscle. The teres minor muscle and tendon appear normal. Again seen are foci of increased signal intensity within the distal fibers of the subscapularis tendon likely a combination of tendinosis and interstitial tearing. There is mild fatty atrophy of the subscapularis muscle.SUPRASPINATUS OUTLET: Mild arthritic changes of the acromioclavicular joint. Again seen is small amount of fluid within the subacromial/subdeltoid bursa. GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthritis affects the glenohumeral joint. Alignment is normal. There is a small joint effusion, however this is improved from prior study. No definite findings to suggest a labral tear on this non-arthrogram study.BICEPS TENDON: Again seen is a atleast a partial-thickness tear of the tendon of the long head of the biceps at its transition from the intertubercular groove to the rotator interval. There is a small amount of fluid communicating with the long head biceps tendon distally.ADDITIONAL
1. Tear of the long head of the biceps tendon similar to prior study.2. Tendinosis and partial-thickness rotator cuff tear with no discrete full-thickness tear as described above.