49-year-old male with pain. Evaluate for re-tear of the rotator cuff. Somewhat suboptimal examination secondary to patient motion artifact. Note is made of metallic susceptibility artifact within the humeral head consistent with postoperative changes from prior rotator cuff repair.ROTATOR CUFF: There is thickening and increased signal abnormality within the supraspinatus tendon consistent with moderate tendinosis. The supraspinatus tendon and muscle appear intact. The infraspinatus tendon appears intact. There is fatty atrophy of the infraspinatus muscle. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa which may represent a mild bursitis. Moderate degenerative changes affect the acromioclavicular joint with osteophyte formation and subchondral cyst formation within the distal clavicle.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. The glenoid labrum appears intact within the limitations of this non arthrogram study.BICEPS TENDON: The tendon of the long head of the biceps is not visualized which may reflect tearing with retraction versus postsurgical changes related to prior tenodesis.ADDITIONAL
1. Postoperative changes of prior rotator cuff repair without evidence of a rotator cuff re-tear. Supraspinatus tendinosis.2. Fluid within the subacromial subdeltoid bursa may reflect a mild bursitis. Other findings as described above.