63-year-old male, rule out rotator cuff tear ROTATOR CUFF: The patient is status post rotator cuff repair. There is full thickness near full width tearing of the distal supraspinatus with retraction of the undersurface fibers to the level of the glenoid. Some fibers of the supraspinatus remain attached to the greater tuberosity. The tear of the anterior aspect of the tendon measures approximately 1.2 cm in AP dimension and of the posterior aspect of the tendon measures 1.4 cm (images 19 and 17, series 8). There is mild to moderate supraspinatus muscle atrophy. Increased signal intensity within the supraspinatus and infraspinatus fibers within the supraspinatus outlet is compatible with tendinosis. There is mild infraspinatus muscle atrophy. The teres minor and subscapularis muscles and tendons are intact.SUPRASPINATUS OUTLET: An os acromiale is noted with mild to moderate AC joint osteoarthritis.GLENOHUMERAL JOINT AND GLENOID LABRUM: Evaluation of the labrum is limited, but there appears to be degeneration of the labrum with degenerative tearing anteriorly.BICEPS TENDON: Status post biceps tenodesis.ADDITIONAL
1. Full thickness, near full width tear of the supraspinatus tendon with retraction of the undersurface fibers to the level of the glenoid.2. Degeneration and tearing of the labrum as described above.3. Moderate distention of the subacromial subdeltoid bursa, containing debris.4. Os acromiale. 