Review Question - QID 217322

A 38-year-old real estate agent presents for evaluation of persistent atraumatic shoulder discomfort. She has some discomfort with heavy overhead lifting during her Crossfit workouts but also complains of discomfort at rest and at night. On exam, she has negative Neer's, drop arm, hornblowers, and cross-body testing, and demonstrates the full active and passive range of motion with excellent strength. She has already tried two 6-week cycles of physical therapy without relief. Figures A-E are her AP right shoulder radiograph and selected MRI images. What is the preferred next step for this patient?