Female 57 years old with left shoulder pain and weakness. Evaluate for rotator cuff tear. Evaluation is somewhat limited secondary to artifact from prior surgical intervention.ROTATOR CUFF: A full-thickness tear of the anterior fibers of the supraspinatus tendon has decreased in size presumably due to prior repair. There is new full-thickness tearing of the posterior supraspinatus tendon fibers. There is mild to moderate tendinopathy and a small intrasubstance tear of the infraspinatus tendon. Mild tendinopathy of the subscapularis tendon with no evidence of tear. There is moderate fatty atrophy and volume loss of the supraspinatus and infraspinatus muscles.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is flattening of the humeral head compatible with a Hill-Sachs deformity.Moderate to pronounced osteoarthritis affects the glenohumeral and acromioclavicular joint. Bone marrow signal intensity is grossly intact.The glenoid labrum is grossly intact within the limits of a non-arthrogram exam. BICEPS TENDON: The intra-articular portion of biceps tendon is not well seen and moderate tendinopathy is suspected. ADDITIONAL
1.Full-thickness tears of the supraspinatus tendon, intrasubstance tear of the infraspinatus tendon and rotator cuff tendinopathy as described above.2.Glenohumeral and acromioclavicular joint osteoarthritis.