Biceps pain. Rule out muscle tear. Please refer to the shoulder MRI report for information regarding the rotator cuff. The tendon of the long head of the biceps is not visible within the bicipital groove. There is a small focus of intermediate signal intensity within the anterior cortex of the proximal humeral diaphysis which I suspect represents the site of biceps tendon tenodesis. The tendon of the long head of the biceps is slightly ill-defined as it approaches this defect, but I suspect it is intact, and the signal intensity of the biceps musculature appears normal, without edema or fatty atrophy. Distally, the biceps tendon inserts onto the radius in normal fashion. The signal intensity of the remaining musculature of the arm appears normal. The signal intensity of the humerus is normal. Mild osteoarthritis affects the elbow, with a small amount of fluid in the joint but no large effusion.
Surgical changes of biceps tenodesis, but otherwise no specific findings to account for the patient's biceps pain.