Reason: eval rotator cuff. History: she has 2 mo acute worsening of chronic symptoms. Had prior rtc repair in the past. ROTATOR CUFF: Note is made of postsurgical changes of prior rotator cuff repair. There is near complete to complete rupture of the supraspinatus tendon with approximately 4 cm of retraction. The tear extends posteriorly to involve the anterior fibers of the infraspinatus. There is marked fatty atrophy of the supraspinatus and infraspinatus muscles. The teres minor muscle and tendon appear intact. There is mild fatty infiltration of the teres minor muscle. There is thickening and intermediate signal intensity within the subscapularis which may reflect tendinosis.SUPRASPINATUS OUTLET: There is a moderate amount of fluid within the subacromial subdeltoid bursa. Degenerative changes of the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Note is made of a high riding humeral head. The glenohumeral joint alignment is otherwise anatomic. There is a near full-thickness to full-thickness articular cartilage fissure affecting the glenoid articular cartilage, centrally with delamination. There is heterogeneity and intermediate signal intensity within the anterior and inferior glenoid labrum indicating degeneration/degenerative tearing.BICEPS TENDON: There is thickening and intermediate signal intensity within the intra-articular portion of the long head of the biceps tendon indicating tendinosis. There is linear fluid signal intensity traversing the tendon of the long head of the biceps at the level of its transition from the bicipital groove to the rotator interval indicating a longitudinal split tear. There is extensive circumferential fluid within the tendon sheath of the long head of the biceps indicating a tenosynovitis.ADDITIONAL
1. Near complete to complete rupture of the supraspinatus with extension of the tear to involve the anterior fibers of the infraspinatus. Fissuring of the articular cartilage of the glenoid with delamination as described above. Longitudinal split tear of the tendon of the long head of the biceps. 2. Glenohumeral joint effusion with findings indicating a synovitis. Other findings as described above.