anyone understand MRI writeups?

[Train]

Can you please give me your thoughts on this?

My chest looks and feels NORMAL.

The Doc is saying that this requires surgery and was a major, major injury that I need to move on quickly.

But I can flex my whole chest, do pushups, and the pec in question even looks BIGGER (but not swollen, just bigger) than the other pec.

Thanks. Im prettty freaked out about this and cant imagine what recovery is going to be like. This is a bad bad bad time for this.

Tt

 

[MAINEVENT]

There's a complete tear of the pec....everything else is OK.

Medial retraction means its pulled inward, or toward the sternum.

 

[Larry Bowie]

bengay and a bandaid

you say your chest looks and feels normal then say its bigger than other??

from the results, you have a tear. (not a strain, pull... a TEAR!!)

if it was me, i'd be getting it fixed yesterday

 

[PHIL HERNON]

PICS

COULD YOU TAKE A PICTURE OF IT FLEXED, ARMS WAIST HIGH, THEN FLEXED, ARMS ABOVE HEAD?

 

[muscle96ss]

To put it as simply as possible you have a pec tear. Your tendon is attatched to the bone(humerus) without any disruption. However, where your muscle belly joins with the tendon you have a 2-3cm tear where the muscle is not attatched to the tendon and has actually retracted inward; probably why it appears fuller. In other words, your pec is hanging on by a thread. You most likely have marked weakness in the pec since you cannot activate any of the fibers that have retracted. In addition, depending on how much strain you put on the muscle you are at risk for a complete disruption as once the remaining threads go the muscle will no longer be attatched. You need to get this addressed ASAP as if you wait too long, the muscle that has already reracted will scar down and will not be able to be reattatched leaving you with permanent weakness and permanent deformity.

 

[Train]

To put it as simply as possible you have a pec tear. Your tendon is attatched to the bone(humerus) without any disruption. However, where your muscle belly joins with the tendon you have a 2-3cm tear where the muscle is not attatched to the tendon and has actually retracted inward; probably why it appears fuller. In other words, your pec is hanging on by a thread. You most likely have marked weakness in the pec since you cannot activate any of the fibers that have retracted. In addition, depending on how much strain you put on the muscle you are at risk for a complete disruption as once the remaining threads go the muscle will no longer be attatched. You need to get this addressed ASAP as if you wait too long, the muscle that has already reracted will scar down and will not be able to be reattatched leaving you with permanent weakness and permanent deformity.

It wont heal on its own???

WTF?

So okay, I get the fucking surgery... how long am I out for?

How long until I can even GO TO THE GYM?

And then how long until I can get back to getting bigger?

This is bullshit. Thank you all for your input. I am so pissed off about this.

And now I have to think about if I should continue taking my GH and Test HRT or if I should cut back... this opens many cans of worms.

I am SO FUCKING MAD.

Tt

 

[Train]

you say your chest looks and feels normal then say its bigger than other??

from the results, you have a tear. (not a strain, pull... a TEAR!!)

if it was me, i'd be getting it fixed yesterday

I mean its not like other tears Ive seen where the pec all but dissapears. You wouldnt notice, and the Drs DIDNT notice anything visibly wrong with it at all.

Until the MRI. Then this shitstorm of urgency happens and I am out for months and months and who fucking knows what else is going to happen from me going crazy because I cant train for months and months

And this happened with 315!!!!!!! LIGHT WEIGHT!!!!!!!!!!! I am out of my mind right now.
Tt

 

[Train]

full writeup

in case you cant read that graphic

there are two mri results here. i dont understand the shoulder one at all.

what the hell is "mild hypertrophic degenerative change" ???

Thanks all,

Tt

--------------

MRI RIGHT SHOULDER.

HISTORY: Pectoralis major rupture.

TECHNIQUE: Axial PD, PD fat suppressed, coronal PD, sagittal T1, coronal PD
and sagittal PD sequences of the right shoulder were obtained.

FINDINGS: There is mild tendinopathy of the distal supraspinatus tendon
without full thickness tear, retraction, or atrophy. The remaining muscles
and tendons of the rotator cuff are intact. Biceps tendon demonstrates normal
signal and descends within the bicipital groove. There are no displaced
labral tears. There is mild hypertrophic degenerative change at the
acromioclavicular joint. Limited images of the distal 2-4 cm of the
pectoralis major insertion on the humerus appears show that the osseous
inserion is likely intact. Please see separately dictated report of the chest.

IMPRESSION:
Mild tendinopathy of distal supraspinatus tendon with no full thickness tear,
retraction, or atrophy.

Please see the separately dictated report of the chest performed the same
day.
------------------------------------------------------------------------
MRI RIGHT ANTERIOR CHEST.

HISTORY: Right pectoralis major rupture.

TECHNIQUE: Coronal T1, STIR, axial T1, PD, STIR sequences of the right chest
are obtained.

FINDINGS: The distal 2-4 cm of the pectoralis major tendon, and the
osseous insertion, appear intact. There is a complete tear along
musculotendinous junction of the pectoralis major with an associated 2-3 cm
gap and medial retraction of the medial aspect of the muscle belly. There is
no evidence of atrophy. The remaining regional muscles of the chest wall
appear intact and demonstrate normal signal. Limited images through the
chest, mediastinum, and spine appear unremarkable.

IMPRESSION: Complete tear of the musculotendinous junction of the pectoralis
major with a 2-3 cm tear gap. The distal osseous insertion of the pectoralis
major tendon appears intact.

Please see separately dictated report of the shoulder performed the same day.

THE STUDY AND THE REPORT WERE REVIEWED BY THE STAFF RADIOLOGIST

 

[Larry Bowie]

I mean its not like other tears Ive seen where the pec all but dissapears. You wouldnt notice, and the Drs DIDNT notice anything visibly wrong with it at all.

Until the MRI. Then this shitstorm of urgency happens and I am out for months and months and who fucking knows what else is going to happen from me going crazy because I cant train for months and months

And this happened with 315!!!!!!! LIGHT WEIGHT!!!!!!!!!!! I am out of my mind right now.
Tt

yeah, my friend had the full one... sounded like a gunshot went off. he got it fixed within two weeks... he's fine now. after the rehab he took it slow and now he can lift like it wasnt even injured

 

[Train]

yeah, my friend had the full one... sounded like a gunshot went off. he got it fixed within two weeks... he's fine now. after the rehab he took it slow and now he can lift like it wasnt even injured

Can you tell me how long it took him to recover? How long was he out of commission, how long until he could train again, how long until he was pushing heavy weight again?

Thanks. This is what Im most worried about.

Tt

 

[Steak Helmet]

I work with 10 RADIOLOGISTS!!! 6 of them specialize in MRIs.

from what the others have said above, they are right on...the medical terminology can be confusing sometimes.

Unremarkable = nothing wrong from what they can tell in the scan. get a couple opinions about having surgery...A kid that use to work for me did the exact same thing to his chest, but his tear was much bigger...he did nothing with it, and now he has a dent in his chest the size of his fist (he is 300lbs played O-line at D I school). He is considerably weaker on that side...and his been about 2 years. BUT!!! he did nothing with it for 6 to 8 months and just let it go. SO I say get on it, get into surgery if they recommend it and get to rehabing.

Looks like you could be out for a few months. the last thing i would worry about right now is getting bigger...get healthy first.

 

[Steak Helmet]

I mean its not like other tears Ive seen where the pec all but dissapears. You wouldnt notice, and the Drs DIDNT notice anything visibly wrong with it at all.

Until the MRI. Then this shitstorm of urgency happens and I am out for months and months and who fucking knows what else is going to happen from me going crazy because I cant train for months and months

And this happened with 315!!!!!!! LIGHT WEIGHT!!!!!!!!!!! I am out of my mind right now.
Tt

WHen the pec or any other muscle "disappears," that means it has torn completly off the bone...90% of the time muscles tear at insertion not origin. so for the pec, origin is in the sternum and insertion is up by the shoulder and clavical(pec minor).

ALWAYS warm up throughly is what I say...and listne to your body...if things are getting tight, then back off to avoid injury...DO NOT push through it, you will only make it worse.

 

[oldfella]

SO here is the million dollar question for you...............................What is a couple of months of rehab and no gym work compared to a lifetime of a chest that looks deformed?? It does not look that way now but just wait and see what it looks like when one side responds to training and the torn side atrophies at a rate of knots!!!

I feel your frustration, but you need to get this fixed........NOW before it is too late!!

 

[Train]

SO here is the million dollar question for you...............................What is a couple of months of rehab and no gym work compared to a lifetime of a chest that looks deformed?? It does not look that way now but just wait and see what it looks like when one side responds to training and the torn side atrophies at a rate of knots!!!

I feel your frustration, but you need to get this fixed........NOW before it is too late!!

Its not that simple. I was in jail for 16 months. I shrunk down to 215. I came out with nonexistent endogenous T and no sex drive and people didnt even recognize me. I didnt know how to move in a crowd, stand on a train, do any of that shit because my body was so different. Its like not knowing yourself (and after 16 months in jail its hard enough as it is).

I got back up to 275 and feel good for the first time since I was indicted back in 2002 or 2003 or whatever it was. Maybe I am too emotionally attached to being big, but whatever. Im what I am and I dont hurt people. I work hard. I deserve to get what I work for after going through all this bullshit.

Im upset about the injury. Im upset that Ill get married in a few months and Ill be a fat fraction of what I really am, and in pictures forever, Ill be this injured person.

But yeah, I know I have to get the operation.

No, I dont need a shrink... just venting because its safe to vent to people you dont know. And the feds who read these posts know Im not doing anything illegal. Im sure theyll be glad to see that Im not doing *that* well.

Thanks all. By Friday I think Ill be under the knife.

God I want to puke.

I dont think stretching could have prevented this. I think its divine intervention. God is talking to me, calling me an asshole again.

This happens in conjuction with a death in the family, a major accident for my best friend that wasnt such an accident afterall, the seizure of another bank account, and a bunch of other shit. All in the same month.

whats new?

Thats why I train. For the demons that hold me up and make me who I have come to be. Its the only way I can keep them quiet, on my side, as my partners instead of my pallbearers.

And yeah, I havent been sleeping.

And in another thread I said I wanted to get to 300 lbs and people scoffed.

Ill make it. And it will kill me, Im sure. Thats not a bad thing. It would anyway.

I appreciate your words. Thanks much.

Tt

 

[trapz]

hey bro your not alone, you know all my fucking issues... hell aside from a small handful of friends, i dont go out, i dont want to even be seen as a fat POS 10lbs heavier than i was when i was 250 and lean over 2.5 yrs ago... hell i havent even gone out anywhere more than once a month and that is only to a friends house...

cant get a job or do anything constructive til my back gets fixed, so its not like i have money to do anything even if i could go out and do stuff for more than a few hours without my back getting aggravated... oh and it took me a yaer and a half and about 8 docs before one decided to further testing and believe thati really had pain that needed to be checked out beyond "muscular pain" to finally find out i have atotally ruptured l4-l5.

lets not even start into the fucking bullshit legal problems i encountered after losing my gf/best friend of 7 years and waking up to find her not breathing.... and getting charge for the ridiculously small amount of stuff i had sitting aside to aid in my recovery after surgery since i have low T levels.

get it taken care of bro, toughing it out and not getting the aches and pains checked out is why i probably have to get a l4-l5 anterior fusion before i turn 29 instead of just dealing with a degenerating or herniated disc...

i would imagine the HRT will only help you recover, since its scripted you might as well inform the doc and see what he says..

too bad we dont live closer we could hang out and bitch about how much we hate the person upstairs if there is one who enjoys slamming all this fucking shit on us.

fuck they even took my bottle of humalog from the fridge and charged me with it, even though the only use i really have for it would be to mainline 3cc and cash in my chips in this game called life.

anyways, you've got a friend a few hours south that knows your pain and situation all too well....

PS, id like to see the prosecutors face when my lawyer throws all my fucking injuries and health issues on the table ..... i think they'd have to send me to a special jail hospital instead of county if they actually realy wanted to put me there for what i am actually charged with, none of which is actually scheduled except for the 2 10cc bottles, and i guess the paraphenalia charge is legit even allt he used pins wer from hGH.

i should just have my lawyer offer to plea out to a year house arrest or so... ive hardly gotten out for the past year and a half anyway, whats another year... my recovery from surgery will be at least 3 months.. and all ill be doing is working for at least that long to get myself out of debt from all this shit.