Reason: Diffuse Large B cell lymphoma- now with worsening right shoulder pain History: as above. ROTATOR CUFF: There is complete rupture of the supraspinatus tendon with retraction to the level of the glenohumeral joint. There is moderate fatty atrophy of the supraspinatus muscle. There is extension of this tear to involve much of the infraspinatus tendon although a few of the posterior fibers of the tendon appear to reach the greater tuberosity. The teres minor and subscapularis muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is fluid within the subacromial subdeltoid bursa confirming a full-thickness tear. Moderate osteoarthritis affects the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is heterogeneity and intermediate signal intensity within the anterior, posterior, and superior labrum likely representing degeneration and degenerative tearing. Mild osteoarthritis affects the glenohumeral joint. Note is made of a high riding humeral head.BICEPS TENDON: There is thickening and intermediate signal intensity of the intra-articular portion of the tendon of the long head of the biceps indicating tendinosis. The tendon itself appears intact. ADDITIONAL
1. Bone marrow signal abnormality within the proximal humerus and coracoid consistent with the patient's history of lymphoma, within the limitations of this noncontrast examination. There is also serpentine signal abnormality within the proximal humerus which may reflect a component of osteonecrosis.2. Massive rotator cuff tear involving the supraspinatus and infraspinatus tendons with retraction as described above.3. Osteoarthritis of the shoulder. Other findings as described above.