45-year-old woman with chronic left shoulder pain following an injury in January 2010. She has undergone numerous orthopedic surgeries at outside hospitals. Multiple foci of signal void within the shoulder represent metallic susceptibility artifact related to prior orthopedic surgery. Tubular foci of intermediate to low signal intensity in the humeral head presumably represent suture anchor tracks. ROTATOR CUFF: Evaluation of the rotator cuff is limited due to the lack of fat-suppressed fluid-sensitive sequences. There is moderate to severe fatty atrophy of the supraspinatus muscle. We see no fluid signal intensity traversing the supraspinatus tendon to confirm a full thickness tear. However, there is intermediate signal intensity within the distal 2 cm of the tendon, which could either represent tendinosis or granulation tissue. There is moderate to severe fatty atrophy of the infraspinatus. We see no fluid signal intensity traversing the infraspinatus tendon to confirm a full thickness tear. There is intermediate signal intensity within the distal fibers of the tendon which could represent tendinosis or granulation tissue. The teres minor muscle and tendon appear intact. There is moderate fatty atrophy of the superior portion of the subscapularis muscle with mild thickening and increased signal of the tendon distally suggesting tendinosis but we see no discrete tear. SUPRASPINATUS OUTLET: Mild deformity of the acromion process presumably represents previous surgery. There is mild hypertrophy of the capsular structures of the acromioclavicular joint. We see no frank fluid in the subacromial/subdeltoid bursa. GLENOHUMERAL JOINT AND GLENOID LABRUM: Mild osteoarthritis affects the glenohumeral joint. We see no joint effusion. The inferior joint capsule subjectively appears slightly thickened. Increased signal within the superior labrum suggests degeneration/degenerative tearing. BICEPS TENDON: The extraarticular portion of the tendon of the long head of the biceps appears intact. The intraarticular portion is not well visualized due to lack of fat-suppressed sequences.  ADDITIONAL
1.Limited evaluation of the right shoulder as described above. The patient was contacted on the day of the examination and was asked to return, but was unable to do so. She will reschedule for a repeat study at a later date. 2.Surgical changes as described above.3.Rotator cuff muscle atrophy as described above. Although we see no fluid-filled rotator cuff tear, intermediate signal intensity within the cuff suggests tendinosis and/or granulation tissue. 4.Osteoarthritis and other findings as above.