48-year-old female with injury to the rotator cuff. ROTATOR CUFF: Again demonstrated is the diffuse thinning of the supraspinatus tendon with fraying/degeneration longitudinally along the inferior aspect, likely representing chronic tearing from prior surgery. However, the proximal aspect of the tendon may be followed to its insertional site and we see no full-thickness tear. Again demonstrated are findings compatible with tendinosis and atrophy, not significantly advanced from prior examination. The infraspinatus tendon also demonstrates increased signal, especially along its inferior surface compatible with fraying and tendinosis with mild atrophy of the muscular belly. There is no full-thickness tear of the infraspinatus tendon. Mild tendinosis also affects the subscapularis tendon, but the muscle body appears within normal limits. Multiple suture anchor tracks are again noted within the humeral head, not significant change from prior examination.Minimal amounts of contrast visualized. The rotator cuff tendons, which likely sequelae of contrast injection and mild extravasation, however we see no frank full thickness rotator cuff tear.SUPRASPINATUS OUTLET: Deformity of the clavicle and acromion is again demonstrated, likely sequela of prior surgery.GLENOHUMERAL JOINT AND GLENOID LABRUM: Surgical changes about the superior labrum are unchanged. Severe degenerative tearing and degeneration most severe at the posterior, inferior labrum appears similar to prior study. BICEPS TENDON: Postsurgical appearance from biceps tenodesis.ADDITIONAL
1. Postsurgical changes of rotator cuff repair, acromioclavicular joint resection, biceps tenodesis. There is thinning and degeneration of the distal aspects of the supraspinatus, infraspinatus, and subscapularis as specifically outlined above. However we see no complete rotator cuff tear. Small amounts of contrast visualized superior to the rotator cuff likely secondary to injection and small amounts of extravasation.2. Severe degeneration of the glenoid articular surface as outlined above.