76-year-old female with shoulder pain. Prior repair. Evaluate rotator cuff. ROTATOR CUFF: There is thickening and intermediate signal abnormality within the supraspinatus tendon indicating moderate tendinosis. There is a full-thickness tear of the supraspinatus tendon at the level of its insertion on the greater tuberosity measuring 6 mm in the AP dimension. There is no significant retraction. Fibers of the supraspinatus can be traced to the greater tuberosity. There is fatty atrophy of the supraspinatus.There is a small partial-thickness undersurface tear of the anterior fibers of the infraspinatus measuring approximately 4 mm in the AP dimension at the level of its insertion on the greater tuberosity. There is no significant retraction. There is also interstitial tearing of the infraspinatus tendon at the level of the myotendinous junction. The infraspinatus muscle appears intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is a small amount of fluid within the subacromial subdeltoid bursa. Mild degenerative changes at the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is anatomic. There is heterogeneity and increased signal abnormality within the superior and posterior labrum likely reflecting degenerative tearing, within the limitations of this non arthrogram study. There is near full-thickness articular cartilage degeneration affecting the glenohumeral joint with subchondral signal abnormality within the humeral head and glenoid, likely degenerative in etiology. There is subchondral cyst formation in the humeral head.BICEPS TENDON: The tendon of the long head of the biceps is not visualized presumably reflecting postoperative change from prior biceps tenodesis. ADDITIONAL
1. Full-thickness tear of the rotator cuff as described above without significant retraction.2. Mild to moderate osteoarthritic changes of the glenohumeral joint.3. The long head of the biceps is not visualized presumably reflecting postoperative change from prior biceps tenodesis. 