56-year-old male with a history of rotator cuff repair on 6/2015. Presents with pain. Suspect supraspinatus/infraspinatus tears. ROTATOR CUFF: Note is made of postoperative changes of prior rotator cuff repair. There are foci of metallic susceptibility artifact and signal void along the superior lateral aspect of the shoulder which are likely postoperative in etiology. There is a near complete to complete tear of the supraspinatus tendon at the level of its insertion on the greater tuberosity with approximately 4 cm of retraction of the proximal tendon. There is extension of this tear posteriorly to involve the anterior fibers of the infraspinatus, although some of these fibers can be traced to the level of their insertion on the humerus. The subscapularis and teres minor muscles and tendons appear intact. There is fatty infiltration and apparent atrophy of the supraspinatus, although some of this may be related to the aforementioned retraction. There is fatty infiltration of the infraspinatus.SUPRASPINATUS OUTLET: There is a moderate amount of fluid within the subacromial subdeltoid bursa which communicates with the glenohumeral joint. Mild to moderate degenerative changes affect the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. Mild degenerative changes affect the glenohumeral joint. There is heterogeneity of the anterior superior labrum which may reflect degeneration/degenerative tearing within the limitations of this non arthrogram study.BICEPS TENDON: The tendon of the long head of the biceps appears intact. Circumferential fluid within the tendon sheath of the long head of the biceps may represent fluid extension from the joint versus a mild tenosynovitis. ADDITIONAL
1. Postoperative changes of prior rotator cuff repair. Near complete to complete rotator cuff tear with retraction as described above.2. Small joint effusion with foci of low signal intensity suggestive of a synovitis. Other findings as described above.