48-year-old female patient with right shoulder pain. Some sequences are limited by patient motion artifact.ROTATOR CUFF: There is diffuse thinning of the supraspinatus tendon likely representing a combination of chronic attritional tearing and prior surgery. However, the remaining tendon can be followed to its insertion on the greater tuberosity and we see no full-thickness tear. There does appear to be retraction of the undersurface fibers suggesting delamination that we suspect was present on the prior study. There is intermediate signal intensity of the tendon distally suggesting tendinosis. There is mild atrophy of the supraspinous muscle. There is intermediate signal intensity of the infraspinatus tendon likely reflecting tendinosis. Increased signal intensity along the undersurface fibers of the infraspinatus tendon seen on image 14, series 4 may represent undersurface fraying or tearing, but is not clearly visualized on the sagittal oblique view and may represent volume averaging with adjacent fluid in the joint. We see no full-thickness tear. There is mild atrophy of the infraspinatus muscle. The teres minor minor muscle and tendon is intact. There is perhaps mild tendinosis of the distal subscapularis tendon, but the muscle appears normal. Multiple suture anchor tracks are again noted in the humeral head. One within the posterior portion of the greater tuberosity is new from the prior study. One of the anchors seen in one of the larger tracks on the prior study is no longer evident.SUPRASPINATUS OUTLET: There is deformity of the distal clavicle and acromial process representing interval surgery. A small amount of fluid is noted in the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The superior labrum appears blunted which may reflect surgical debridement or tearing. There is deformity the posterior inferior labrum likely representing degenerative tearing, appearing similar to the prior study. Glenohumeral alignment is within normal limits. There is a small amount of fluid in the joint, but no large effusion.BICEPS TENDON: The patient has undergone a biceps tenodesis since the prior study. ADDITIONAL
1. Surgical changes of rotator cuff repair, acromioclavicular joint resection, and biceps tenodesis. 2. There is thinning of the supraspinatus tendon that we suspect represents a combination of chronic tearing and surgical changes, but we see no full-thickness tear.3. Additional rotator cuff tendinosis and other findings as described above.