50 year-old female with history of right shoulder pain, concern for labral tear. ROTATOR CUFF: The supraspinatus muscle and tendon appear intact. Intermediate signal intensity within the anterior distal fibers of the infraspinatus tendon suggests mild insertional tendinosis, however, no discrete tear is evident. The teres minor muscle and tendon are within normal limits. The subscapularis muscle and tendon are within normal limits.SUPRASPINATUS OUTLET: The acromioclavicular joint is within normal limits.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral alignment is within normal limits. There are two suture anchors within the posterior/superior aspect of the glenoid and three additional suture anchors in the inferior glenoid. The anterior/inferior labrum appears slightly rounded, but otherwise intact. There is mild irregularity along the surface of the posterior labrum, that may reflect mild fraying, however, we see no contrast undercutting the labrum in this region. There is blunting and irregularity of the superior labrum that may in part reflect prior surgery, however, the degree of irregularity as well as gadolinium appearing to enter the substance of the labrum is suggestive of a re-tear or a new tear.Cartilage covering the superior half of the glenoid appears higher in signal than that covering the inferior half, while this is of uncertain significance, but may represent degeneration. Small foci of signal void within the anterior aspect of the joint likely reflects air injected during the arthrogram.BICEPS TENDON: The tendon of the long head of the biceps appears intact. Foci of low signal within the biceps tendon sheath likely represent air injected during the arthrogram.
Postoperative changes as described above, with findings suggestive of tearing of the posterior/superior labrum. 