Reason: rot cuff tendonitis, eval for tear History: shoulder pain Severely limited examination secondary to patient motion artifact.ROTATOR CUFF: Note is made of multiple foci of susceptibility artifact within the soft tissues along the superior lateral aspect of the shoulder likely postsurgical in etiology. There is fluid signal intensity traversing the anterior fibers of the supraspinatus indicating at least a high-grade partial thickness tear versus a full-thickness tear measuring approximately 11 mm in the AP dimension. There is no significant retraction. There is fatty infiltration along the myotendinous junction of the supraspinatus. A suture anchor is identified within the superolateral aspect of the humeral head indicating prior rotator cuff repair. There is mild fatty atrophy of the infraspinatus. The infraspinatus tendon appears intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a small to moderate amount of fluid within the subacromial subdeltoid bursa. Mild to moderate osteoarthritis affects the acromioclavicular joint. Note is made of an os acromiale.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Suboptimal evaluation of the glenoid labrum secondary to the aforementioned patient motion artifact and lack of intra-articular gadolinium, however, there is heterogeneity and intermediate signal intensity within the superior labrum likely representing degeneration/degenerative tearing.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is thickening of the intra-articular portion of the long head of the biceps indicating moderate tendinosis.ADDITIONAL
Limited examination secondary to patient motion artifact with findings indicating a high-grade partial-thickness to full-thickness tear of the supraspinatus without retraction as described above. Postsurgical changes of prior rotator cuff repair. Other findings as described above.