38M Shoulder MRI 8 months post op, continued pain, “r/o rotator cuff tear”. Please Help.

[image: 38 8mos pain post rule out rct.jpg]
This is a 1.2T open MRI.
I see that he has had both Remplissage and Latarjet procedures…and pretty
sure there’s been biceps tenodesis, but that’s irrelevant here.
I think there’s punctate suture or metal artifact around the infraspintus
tendon at the site of remplissage…not sure if there is real “insertional”
tendinosis at that site…if that’s a common problem / source of continued
pain.
[image: 38 8mos pain post rule out rct (1).jpg]
Terribly limiting hardware artifact (I find artifact is particularly
problematic in the open 1.2T)…but is that real marrow edema in the
translated coracoid? Might that suggest non-union?
[image: 38 8mos pain post rule out rct (2).jpg]
[image: 38 8mos pain post rule out rct (3).jpg]
Please let me know what you think / recommend.
I’m holding the report….
Thanks.

Hilary

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