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Lakewood VA Clinic <br />155 Van Gordon Street, Suite 395 <br />Lakewood, CO 80225 <br />Phone: (303) 399 -8020 Option 2 <br />JUL 12, 2013 <br />TERRY L WINTERS <br />PO BOX 178 <br />IDAHO SPRINGS, COLORADO 80452 <br />Comments: <br />left shoulder shows tendonosis and Superior labral degeneration, mild <br />glenohumeral joint arthrosis and moderate acromioclavicular joint arthrosis. <br />rt shoulder shows <br />Chronic complete full thickness tears of supraspinatus and <br />infraspinatus (appearance related to severe thinning of the <br />distal infraspinatus possible). Associated atrophy of the <br />infraspinatus more than supraspinatus. <br />2. Marked glenohumeral-arthrosis. " <br />I have sent a consult of ortho <br />If you have any further questions or problems, please call the phone <br />number at the top of this letter. <br />Sincerely, <br />Diane M Barnes NP (Electronically Signed) <br />Nurse Practitioner <br />TERRY L WINTERS <br />Page 1 of 1 <br />