Reason: cuff tear; prior repair History: pain ROTATOR CUFF: 4 suture anchors are identified within the greater tuberosity presumably related to prior rotator cuff repair. There is a full-thickness tear of the supraspinatus with retraction to the level of the superior aspect of the humeral head, measuring approximately 1.4 cm in the AP dimension. There is associated delamination which extends proximally along the proximal tendon fragment. There is fatty atrophy of the supraspinatus.There is interstitial tearing of the infraspinatus at the level of the myotendinous junction. There is mild fatty atrophy of the infraspinatus.The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: Mild osteoarthritis affects the acromioclavicular joint. There is a small to moderate amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Linear increased signal abnormality traverses the anterior inferior labrum indicating degeneration with probable degenerative tearing. There is thinning of the articular cartilage along the humeral head.BICEPS TENDON: The intra-articular portion of the long head of the biceps tendon is poorly visualized indicating a full-thickness tear at the level of its transition from the bicipital groove to the rotator interval.ADDITIONAL
1. Postoperative changes of prior rotator cuff repair. There is a full-thickness tear of the supraspinatus with delamination as described above.2. Full-thickness tear of the tendon of the long head of the biceps at the level of its transition from the bicipital groove to the rotator interval.