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Please help me interpret my written RT shoulder MRI results


CONTRAST:
MRI of the RIGHT shoulder without contrast.

Comparison:
CR PR  - XRAY SHOULDER COMPLETE MIN 2 VWS - RIGHT FC  - 09/24/2021 01:15 PM
EDT

Technique: Multiplanar multisequence noncontrast MR imaging of the RIGHT
shoulder performed.

Findings: Small amount of joint fluid.  Marrow edema and probable minor concave
impaction fracture greater tuberosity.  Osseous glenoid not well assessed.  
Slightly diffuse heterogeneous marrow signal, nonspecific.  Acromioclavicular
degenerative change with joint fluid.  No shoulder dislocation.  Inferior
intra-articular body 0.6 x 0.5 cm (coronal image 16/sagittal image 11/axial
image 21).

Supraspinatus: Split tear from insertion point spanning 2.2 cm.  Few bursal
surface fibers intact.  Estimated 80% fiber involvement.  Minor muscle atrophy.

Infraspinatus: Thickening and increased intrasubstance signal from insertion
point spanning 1.5 cm.  No retraction.  

Teres minor: Intact.

Subscapularis: Partial intrasubstance tear or tendinosis from insertion point
spanning up to 2.5 cm.

Long head biceps: Serial bicipital groove.  Bicipital labral complex not well
assessed.

Glenoid labrum: Probable labral tear.  No complete detachment.

Impression:
1.  Heterogeneous marrow signal, indeterminate.  Edema and concavity greater
tuberosity, perhaps impaction injury.  Correlate with history and
symptomatology.
2.  Joint effusion, inferior intra-articular body and probable labral tear.  
Osseous glenoid not well assessed.
3.  Supraspinatus split tear.  Infraspinatus and subscapularis tendinosis or
partial intrasubstance tear.

Thank you very much for any information you can provide. Surgery, yes/no?
1 Responses
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Avatar universal
This report is telling you it doesn't show anything conclusive so it could be lots of things.  That's why after a diagnostic test you go back to your specialist who ordered the test and presumably manipulated your shoulder to make a diagnosis and tell you if he thinks surgery is necessary or sends you to physical therapy.  If he says you need surgery, get a second opinion first.  While the test did find stuff wrong, depending on your age, that doesn't mean you need surgery but it might.  Most of us don't look all that great when we get MRIs if we're over 40.  The fact they found a probable tear and some other things doesn't mean you need surgery, though it might.  It might mean you need rehab.  
Helpful - 1
2 Comments
Okay that makes sense to me. Thank you very much for the layman’s translation.
I’ve had 2 left rotator cuff surgeries and 1 on my right in the past.  So i guess im just breaking down slowly but surely.
Kind regards,
Dave
Aren't we all!
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