Right shoulder pain Evaluation of the shoulder is limited by metallic susceptibility artifact from orthopedic anchor from prior rotator cuff repair. Evaluation is also limited by patient motion artifact particularly on the sagittal sequences.ROTATOR CUFF: The rotator cuff insertion is obscured secondary to metallic susceptibility artifact. There is fluid signal intensity proximal to the cuff insertion and the distal supraspinatus tendon is ill-defined. These findings are concerning for a full-thickness tear of the supraspinatus near the insertion with retraction and possible scar replacement. Fluid signal intensity is also identified within the intrasubstance of the infraspinatus tendon which likely reflects extension of tearing. Increased signal intensity is also present within the insertional fibers of the subscapularis concerning for interstitial an insertional tearing. The visualized teres minor tendon appears intact. There is severe fatty atrophy of the supraspinatus and infraspinatus muscles. There is also fatty atrophy of the superior fibers of the subscapularis and along the myotendinous junction. The teres minor muscle is normal.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The humeral head is slightly high riding in relation to the glenoid fossa. Moderate osteoarthritis affects the glenohumeral joint and there is degeneration and degenerative tearing of the anterior and superior labrum. There is a small amount of fluid within the glenohumeral joint.BICEPS TENDON: There is fluid signal intensity within the intrasubstance of the biceps tendon within the intertubercular groove. More proximally, the intra-articular portion of the biceps tendon is not well seen which may relate to tearing. ADDITIONAL
1. Chronic rotator cuff tears and muscle atrophy as detailed above.2. Osteoarthritis of the glenohumeral and acromioclavicular joints.3. Tearing of the intra-articular portion of the biceps tendon.