Male, 63 years old. Status post rotator cuff repair, chondroplasty, microfracture. Right shoulder pain ROTATOR CUFF: There is a complete tear of the supraspinatus tendon with fibers retracted to the level of the glenoid. The majority of the fibers of infraspinatus also appear to be torn with retraction to the level of the glenoid. There is advanced fatty atrophy of both supraspinatus and infraspinatus muscles. The teres minor tendon is intact, and there is mild to moderate fatty atrophy of the teres minor muscle. There is marked tendinopathy of the subscapularis tendon with small areas of predominantly bursal surface tearing. The subscapularis muscle is intact. Anchors within the humeral head create artifact.SUPRASPINATUS OUTLET: Moderate osteoarthritis affects the acromioclavicular joint. There are postsurgical changes of the acromion.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is diffuse cartilage loss involving the glenohumeral articulation with subchondral cysts. The labrum is diffusely degenerated and torn. There are small loose bodies within the joint. The synovium is thickened, compatible with synovitis.BICEPS TENDON: The tendon of the long head of the biceps is normal in morphology and position. ADDITIONAL
Chronic high-grade rotator cuff tear and severe osteoarthritis of the shoulder as above.