Figure 3. Magnetic resonance imaging with i.v. gadolinium contrast images of the left shoulder showing severe tendinopathy of the rotator cuff muscles. (A) Coronal T2 with fat suppression image (* acromion, ~ deltoid tendon, × humeral head, + supraspinatus tendon). (B) Axial PD with fat suppression (* infraspinatus tendon, + subscapularis, ~ deltoid tendon, × humeral head). There is a full-thickness complete tear of the supraspinatus tendon with retraction of the majority of the tendon to the superior humeral head proximally 2.5 cm from the insertion. The tear extends into the anterior aspect of the infraspinatus tendon, involving approximately 50% of the infraspinatus tendon with sparing of the posterior fibers. The teres minor tendon is intact, without significant tendinopathy. There is fatty atrophy of the supraspinatus and infraspinatus muscle bellies and severe osteoarthritis of the acromioclavicular joint.