Reason: cuff tear, History: pain Several sequences are limited by patient motion artifact.ROTATOR CUFF: There is thickening and increased signal intensity within the anterior fibers of the supraspinatus tendon indicating mild to moderate tendinosis. There is intermediate signal intensity along the articular and bursal surface fibers which may reflect mild fraying, but we see no fluid-filled tear. There is mild fatty atrophy along the myotendinous junction of the supraspinatus, but otherwise the muscle appears normal. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There are multiple foci of signal void within the superior soft tissues of the shoulder representing metallic susceptibility artifact from prior surgery. There is widening of the acromioclavicular joint with tapering of the acromion process indicating prior surgery. There is mild impression upon the superior fibers of the supraspinatus by the distal end of the clavicle. There is minimal fluid within the subacromial bursa which may not be of any clinical significance.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is deformity of the proximal humerus indicating an old healed fracture. We suspect that there is mild osteoarthritis of the glenohumeral joint, although the cartilage is difficult to evaluate due to patient motion artifact. The labrum is difficult to evaluate due to patient motion artifact and lack of intra-articular contrast, however, portions of the labrum are replaced with intermediate signal intensity likely representing degenerative tearing. The superior labrum is attenuated which may represent a combination of degeneration and prior surgery.BICEPS TENDON: The patient has undergone biceps tenodesis.
1. Supraspinatus tendinosis and surface fraying without fluid-filled tear.2. Surgical changes and other findings as described above.