Help understanding my results

[elvis15767]

Mri results.. not sure exactly what they mean though... any inputs would be appreciated

UPPER EXT MRI JOINT W/ C RIGHT:
MR ARTHROGRAM OF THE RIGHT SHOULDER WITH CONTRAST:
COMPARISON: Right shoulder arthrogram dated 5/9/2017..
TECHNIQUE:
After the intra-articular administration of diluted gadolinium into the right glenohumeral joint under fluoroscopic guidance, MR
images of the right shoulder were performed with an MR shoulder arthrogram protocol.
FINDINGS:
ROTATOR CUFF AND ASSOCIATED STRUCTURES:
Evaluation is degraded due to patient body habitus/tissue composition. This results in poor fat saturation.
Rotator Cuff:
There is intermediate signal throughout the rotator cuff. There is no complete or bursal/articular sided partial rotator cuff tear. The
subscapularis constituent of the rotator cuff is intact.
Bursa: There is a small amount of fluid in the subacromial subdeltoid bursa.
Musculature: There is no muscular tear, contusion or atrophy.
Acromioclavicular joint: There is a type III hooked acromion. There is narrowing of the rotator cuff outlet.. There appears to be mild
superior displacement of the distal clavicle relative to the acromion, demonstrated on the arthrogram images as well. The inferior
acromioclavicular ligament appear disrupted. The superior acromioclavicular ligament appears thickened and edematous but appear
intact. The coracoclavicular ligaments appear normal. There is a subchondral fracture of the distal clavicle. There are erosive changes
at the distal clavicle. There is marrow edema at the distal clavicle. There are areas of cystic change within the distal clavicle. There is
also marrow edema involving the opposing surface of the acromion.
OSSEOUS STRUCTURES:
Bones: There are no other fractures or other regions of abnormal bone marrow signal intensity.
GLENOHUMERAL JOINT:
Cartilage and Bone: No focal hyaline cartilage defects are noted. No Hill-Sach's lesions, or bony Bankart lesions are seen.
Labrum: There are no SLAP or soft tissue Bankart lesions. No paralabral cysts are seen.

OTHER SUPPORT STRUCTURES:
No capsular or ligamentous abnormality is seen. The long head of the biceps tendon is well situated within the bicipital groove without
evidence of tearing or dislocation.
OTHER FINDINGS: None.
IMPRESSION:
1. NORMAL ROTATOR CUFF.
2. NO LABRAL TEARING.
3. SUBCHONDRAL FRACTURE OF THE DISTAL CLAVICLE WITH EROSIVE CHANGES AT THE DISTAL CLAVICLE
AND MARROW EDEMA. FINDINGS REPRESENT DISTAL CLAVICULAR OSTEOLYSIS, LIKELY RELATED TO
REPETITIVE TRAUMA.
4. LOW-GRADE INJURY AT THE ACROMIOCLAVICULAR JOINT, AS ABOVE.
5. TYPE III HOOKED ACROMION WHICH NARROWS THE ROTATOR CUFF OUTLET.

 

[muskate]

You basically have a low-grade injury at the acromioclavicular joint.

How serious it is? I don't know. It's possible for me to tell without seeing the actual MRI results.

You need to book a follow up appointment with your doctor and talk about the best treatment option, whether surgery is needed or not etc.

 

[elvis15767]

You basically have a low-grade injury at the acromioclavicular joint.

How serious it is? I don't know. It's possible for me to tell without seeing the actual MRI results.

You need to book a follow up appointment with your doctor and talk about the best treatment option, whether surgery is needed or not etc.

I plan on making an apt Monday that's the only paper's I got off my hospitals portal to view and was wondering what to expect at my apt. Going for good news

 

[jp4355]

Are you hearing any Clicking or notice any problems with your Range of Motion.

As a Type III Hooked Acromium is an Impingement of the Shoulder.

This can be Minor, but lead to further problems down the road, so I would ask about it's impact on the Rotator Cuff.

I have a Bone Spur on the Acromium Process which gives me some Diminished Range of Motion.
And also sounds like a Box of Rocks in there when I move my Shoulder certain ways.
But it in no way hinders me from Lifting................................ JP

 

[elvis15767]

Are you hearing any Clicking or notice any problems with your Range of Motion.

As a Type III Hooked Acromium is an Impingement of the Shoulder.

This can be Minor, but lead to further problems down the road, so I would ask about it's impact on the Rotator Cuff.

I have a Bone Spur on the Acromium Process which gives me some Diminished Range of Motion.
And also sounds like a Box of Rocks in there when I move my Shoulder certain ways.
But it in no way hinders me from Lifting................................ JP

Every time I brush my teeth or shave in the up and down motion is constantly popping worth every stroke. It did hurthe for a while but they originally thought bursitis and gave me a cortisone shot and took half the pain away then a steroid pack help with most the rest... after it was still having slight discomfort and popping send me to a specialist that thought it was a labrum tear and sent me for a MRI and these were the results.. I still have a slight discomfort after doing pretty much anything for the day but nothing I can't live with its like dull ache