Patient with history of SLAP tear status post repair, presenting with persistent left shoulder pain, evaluate for rotator cuff tear/labrum. ROTATOR CUFF: Signal changes in the supraspinatus tendon insertion, consistent with supraspinatus tendinopathy without evidence of tear. The supraspinatus muscle is intact. Infraspinatus muscle and tendon are intact. Teres minor muscle and tendon are intact. The subscapularis muscle and tendon are intact. Injected contrast remains within the glenohumeral joint with no communication to the subdeltoid and subacromial bursa.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: Again noted is a grade II SLAP lesion which appears slightly more conspicuous as compared to the prior exam. Mild degenerative changes affect the glenohumeral joint, some of the prior exam.BICEPS TENDON: The proximal biceps tendon has been resected and reattached to the proximal humeral diaphysis, consistent with tenodesis.ADDITIONAL
1.Grade II SLAP lesion, grossly similar to the prior exam.2.Tendinosis of supraspinatus tendon, with no evidence of tear. Otherwise the rotator cuff is intact.3.Patient status post biceps tenodesis.