74-year-old male with left shoulder pain. Evaluate for shoulder cuff tear. ROTATOR CUFF: Note is made of postsurgical changes of prior rotator cuff repair. There is a small partial-thickness articular surface tear of the supraspinatus at the level of its insertion on the greater tuberosity involving less than 50% of the tendon width, measuring approximately 6 mm in AP dimension. There is also a small partial thickness tear of the bursal surface fibers of the supraspinatus. The supraspinatus muscle appears intact. The infraspinatus muscle and tendon appear intact. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is no significant fluid within the subacromial subdeltoid bursa. Mild degenerative changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is increased signal abnormality and heterogeneity within the glenoid labrum indicating degenerative tearing. Linear fluid signal abnormality is identified within the superior glenoid labrum indicating a tear. Severe degenerative changes affect the glenohumeral joint with full-thickness articular cartilage degeneration and osteophyte formation. There is associated subchondral signal abnormality within the glenoid, likely degenerative in etiology. There are subchondral cysts within the humeral head. There is slight posterior translation of the humeral head with relation of the glenoid. BICEPS TENDON: There is circumferential fluid within the tendon sheath which may represent fluid extension from the glenohumeral joint versus a tenosynovitis. Foci of low signal intensity within the tendon sheath may represent a loose body or synovitis. ADDITIONAL
1. Postsurgical changes of prior rotator cuff repair with partial-thickness tearing of the rotator cuff as described above. 2. Severe osteoarthritis affects the glenohumeral joint with full-thickness articular cartilage degeneration. 3. Degenerative tearing of the labrum and other findings as described above.4. Findings suggestive of multiple loose bodies within the joint space versus a synovitis.