50 year old female for brachial plexus injury evaluation ROTATOR CUFF: Intermediate signal within and thickening of the distal tendon of the supraspinatus is compatible with tendinosis. Mild fatty atrophy is noted along the distal myotendinous junction of the supraspinatus. No discrete fluid-filled tear is evident. The infraspinatus tendon also appear intact. The teres minor tendon and muscle appear intact. The subscapularis tendon and muscle appear intact. Collection that is isointense to muscle on all sequences with increased T2 rim appearing to be within the subcoracoid bursa presumably represent blood products. SUPRASPINATUS OUTLET: The acromioclavicular joint is within normal limits.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral alignment is within normal limits. Multiple anchor sutures are noted within the glenoid. The anterior inferior labrum appears slightly rounded but otherwise intact. There is blunting and fraying of the superior labrum that may reflect prior surgery and degenerative changes without a discrete fluid-filled tear. The posterior labrum appears similar to that seen on the prior exam.BICEPS TENDON: Status post long head of the biceps tenodesis into the proximal humeral diaphysis. ADDITIONAL
1.Findings compatible with supraspinatus tendinosis with mild fatty atrophy as described above.2.Blunting and narrowing of the superior labrum that may reflect prior surgery and degenerative changes without a discrete fluid-filled tear.3.Status post long head of the biceps tenodesis.4.Soft tissue edema, air, and blood products reflect recent surgery as described above.