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I've had a few shoulder surgeries the last couple of years. I still have some discomfort in my shoulder. I got an MRI taken last week and am not scheduled to see my doctor to go over the report until tommorow. I was wondering if any of you guys can explain to me what this MRI report says.
Here is a copy of my MRI report:
EXAMINATION: MR of the right shoulder
CLINICAL INFORMATION: This is a 28-year old male with right shoulder pain. History of long head biceps tendon tenodesis and pectoralis major tendon tenodesis and repair, acromio-clavicular joint surgery and labral injury and repair. Right anterior shoulder pain.
TECHNICAL FACTORS: Using the shoulder coil and a 1.5 Tesla GE Signa Horizon Imager a MR examination of the right shoulder was taken. Oblique, coronal, sagittal, and axial images were taken utilizing T1 and FSE proton density, fat suppression, and gradient recalled technique. The patient received Magnevist 20 ml intravenously and uneventfully. The study was extended to the insertion of the pectoralis major on the humerus as well as to the region of the biceps tenodesis. MRI of the chest wall was not obtained after Dr. Lee discussed the case with Dr. Dick's office. If there is concern for sternal or clavicular origin injury of the pectoralis major, dedicated chest wall MRI is recommended.
FINDINGS: The patient is status post long head biceps tenodesis adjacent to surgical repair of the pectoralis major tendon at its insertion on the anterior humeral shaft. This is associated with minimal increased signal surrounding the distal pectoralis major tendon insertion with minimal regional contrast enhancement without discrete full-thickness retear of the pectoralis major itself. Findings likely represent some mild inflammatory change.
There is mild to moderate fluid distention of the subacromial-sub deltoid bursa with moderate contrast enhancement compatible with bursitis.
The patient has had prior supraspinatus tendon fixation as evidenced by a screw scar in the humeral head. There is no full-thickness tear of the supraspinatus tendon at this time with mild interstitial fraying and bursal surface fraying.
There is extensive degeneration of the glenoid labrum which demonstrates multiple anterior and posterior scar for screw sites in the bony glenoid. This is associated with mild cartilage thinning and irregularity of the bony glenoid and and humeral head with questionable early osteophyte formation. The acromio-clavicular joint demonstrates some postsurgical changes. When compared to the prior right shoulder MRI of 11/23/2007 and 12/12/2007, no significant interval change of the pectoralis major or biceps tendon repair is identified.
IMPRESSION:
1. Status post biceps tenodesis which is adjacent to pectoralis major tendon repair at its insertion on the anterior humeral shaft. This is associated with minimal increased signal and enhancement in this region likely related to mild inflammatory change. There is no full-thickness retear of the pectoralis major or biceps tendon.
2. Mild to moderate subacromial-subdeltoid bursitis with associated regional postsurgical change at the acromio-clavicular joint.
3. Supraspinatus tendinopathy with fraying with adjacent fixation screw in the humeral head.
4. Mild diffuse degeneration of the glenoid labrum which is associated with mild cartilage thinning of the glenoid and humeral head and questionable early osteophyte formation. (Status post multiple screw scar fixation sites identified) Findings are compatible with mild osteoarthritic change.
Here is a copy of my MRI report:
EXAMINATION: MR of the right shoulder
CLINICAL INFORMATION: This is a 28-year old male with right shoulder pain. History of long head biceps tendon tenodesis and pectoralis major tendon tenodesis and repair, acromio-clavicular joint surgery and labral injury and repair. Right anterior shoulder pain.
TECHNICAL FACTORS: Using the shoulder coil and a 1.5 Tesla GE Signa Horizon Imager a MR examination of the right shoulder was taken. Oblique, coronal, sagittal, and axial images were taken utilizing T1 and FSE proton density, fat suppression, and gradient recalled technique. The patient received Magnevist 20 ml intravenously and uneventfully. The study was extended to the insertion of the pectoralis major on the humerus as well as to the region of the biceps tenodesis. MRI of the chest wall was not obtained after Dr. Lee discussed the case with Dr. Dick's office. If there is concern for sternal or clavicular origin injury of the pectoralis major, dedicated chest wall MRI is recommended.
FINDINGS: The patient is status post long head biceps tenodesis adjacent to surgical repair of the pectoralis major tendon at its insertion on the anterior humeral shaft. This is associated with minimal increased signal surrounding the distal pectoralis major tendon insertion with minimal regional contrast enhancement without discrete full-thickness retear of the pectoralis major itself. Findings likely represent some mild inflammatory change.
There is mild to moderate fluid distention of the subacromial-sub deltoid bursa with moderate contrast enhancement compatible with bursitis.
The patient has had prior supraspinatus tendon fixation as evidenced by a screw scar in the humeral head. There is no full-thickness tear of the supraspinatus tendon at this time with mild interstitial fraying and bursal surface fraying.
There is extensive degeneration of the glenoid labrum which demonstrates multiple anterior and posterior scar for screw sites in the bony glenoid. This is associated with mild cartilage thinning and irregularity of the bony glenoid and and humeral head with questionable early osteophyte formation. The acromio-clavicular joint demonstrates some postsurgical changes. When compared to the prior right shoulder MRI of 11/23/2007 and 12/12/2007, no significant interval change of the pectoralis major or biceps tendon repair is identified.
IMPRESSION:
1. Status post biceps tenodesis which is adjacent to pectoralis major tendon repair at its insertion on the anterior humeral shaft. This is associated with minimal increased signal and enhancement in this region likely related to mild inflammatory change. There is no full-thickness retear of the pectoralis major or biceps tendon.
2. Mild to moderate subacromial-subdeltoid bursitis with associated regional postsurgical change at the acromio-clavicular joint.
3. Supraspinatus tendinopathy with fraying with adjacent fixation screw in the humeral head.
4. Mild diffuse degeneration of the glenoid labrum which is associated with mild cartilage thinning of the glenoid and humeral head and questionable early osteophyte formation. (Status post multiple screw scar fixation sites identified) Findings are compatible with mild osteoarthritic change.
