Reason: RCT History: Pain, Weakness Suboptimal evaluation on multiple sequences secondary to patient motion artifact as well as inability to optimally position the patient for the ABER view.ROTATOR CUFF: There is a complete tear of the supraspinatus with approximately 1 cm of retraction of the proximal tendon fragment. Some of this tearing appears to extend posteriorly to involve the anterior fibers of the infraspinatus. There is thickening and intermediate signal intensity within the supraspinatus indicating tendinosis. There is fatty atrophy of the supraspinatus. There is thickening and intermediate signal intensity within the subscapularis indicating moderate tendinosis. The teres minor muscle and tendon appear intact.SUPRASPINATUS OUTLET: Intra-articular gadolinium extends into the subacromial subdeltoid bursa confirming a full-thickness tear. Note is made of postsurgical changes of prior acromioplasty affecting the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is a full-thickness articular cartilage cleft along the anterior superior glenoid. There is partial-thickness articular cartilage degeneration along the glenoid. There is heterogeneity and intermediate signal intensity within the posterior and superior labrum indicating degeneration/degenerative tearing.BICEPS TENDON: The tendon of the long head of the biceps appears intact. ADDITIONAL
1. Postsurgical changes of prior rotator cuff tear with findings indicating a complete retear of the supraspinatus with retraction as described above. Other findings as described above. 2. Degeneration/degenerative tearing of the glenoid labrum as well as articular cartilage degeneration along the glenoid.3. Low signal intensity debris within the glenohumeral joint may reflect a synovitis.