55-year-old male with pain, evaluate for rotator cuff tear ROTATOR CUFF: Interval surgical repair of supraspinatus and subscapularis tear. Susceptibility artifact from fixation screws within the humeral head. Increased signal along the insertion of the supraspinatus tendon and thickening of the supraspinatous tendon extending posteriorly towards infraspinous tendon insertion with surrounding fluid signal compatible with partial-thickness tear without retraction. Some fibers can be seen inserting at the greater tuberosity. Small amount of reactive subchondral edema at the greater tuberosity.Mild fatty atrophy of the superior fibers of the infraspinatus and subscapularis. There are cysts in the underlying lesser tuberosity.SUPRASPINATUS OUTLET: Status post acromioclavicular resection.GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild arthritis of the glenohumeral joint. Mild intermediate intrinsic signal and blunting of the superior labrum. Increased degenerative tearing of the anterior and inferior labrum.BICEPS TENDON: Status post biceps tenodesis. ADDITIONAL
1.Thickening of and increased signal within the supraspinatous tendon compatible with a partial thickness tear without evidence of retraction.2.Similar appearing fatty atrophy of the infraspinatus and subscapularis. 3.Progressive degenerative tearing of the labrum as described above.4.Post surgical changes as described above. 