Reason: right shoulder pain, s/p labral repair, assess healing/re-tear History: right shoulder pain, s/p labral repair, assess healing/re-tear ROTATOR CUFF: The supraspinatus and infraspinatus muscles and tendons appear intact. There may be mild undersurface fraying of the supraspinatus at the level of the myotendinous junction. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: No significant fluid is identified within the subacromial subdeltoid bursa. The acromioclavicular joint is normal in appearance.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is minimal posterior translation of the humeral head relative to the glenoid.There is heterogeneity and branching linear increased signal abnormality traversing the superior and posterior superior labrum which fills with intra-articular gadolinium indicating a tear. There is additional linear signal abnormality traversing the articular cartilage of the posterior glenoid which extends through the posterior labrum and fills with intra-articular gadolinium. This likely represents a combination of post surgical change, degeneration and re-tearing. There is a tiny subcentimeter paralabral cyst along the posterior aspect of the glenoid. There is heterogeneity and increased signal abnormality within the anterior glenoid labrum likely representing a combination of postsurgical change and degeneration. No fluid-filled tear is evident.BICEPS TENDON: The tendon of the long head of the biceps appears intact. There is intermediate signal intensity within the intra-articular portion of long head of the biceps indicate mild tendinosis.
Postsurgical and degenerative changes of the glenoid labrum with new tears involving the superior and posterior labrum as described above.