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Review Question - QID 8815

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QID 8815 (Type "8815" in App Search)
A 75-year-old African American female presents with an insidious onset of atraumatic right shoulder pain. She has a history of a rotator cuff tear repair performed over 20 years ago. She denies fevers or constitutional symptoms. Her WBC is 9, ESR 15 mm/h (rr 0-20 mm/h), CRP 8 mg/L (rr 0-10 mg/L). Figure A is a radiograph of her right shoulder. What is the most likely pathogenesis of her condition?
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