Good luck at the ortho. At (y)our age, there's probably a bone spur or two in the mix. Missing cartilage is common as well (both my shoulders) at this age. Stem cell treatments might be feasible now to alleviate some of that.

MRI is much better than X-ray at examining soft tissue. You'll probably be sent for one (or at least should be). Dr. Woodward said the MRI is usually a good guide, but there's nothing better than the arthroscopic camera; once he gets that inside, he can find and fix other issues as well. So it was with my torn labrum. Hope all goes well. Keep it iced and barely mobile until the exam.

Good luck, indeed at the ortho. I'm starting to feel quite lucky that I merely had a torn rotator cuff with bone spur that had done much of the cutting.