Shoulder MRI results. WTF does this mean???

[Aging Lifter]

I had barbotage on my shoulder in December to remove calcifiv tendonitis. Since about March I have had severe pain at night. Had an MRI and here ate the results.... Intact rotator cuff tendons.

Severe chronic fatty replacement and significant fatty atrophy of isolated supraspinatus muscle secondary to 5 x 10 mm bilobed cyst in suprascapular notch

No definite labral tear however.

** FINDINGS **:

A-C JOINT AND CORACOACROMIAL ARCH: There is a type 2 undersurface acromion. No significant degenerative changes of the acromioclavicular joint. Minimal undersurface bony spurring distal clavicle. Coracoacromial and acromioclavicular ligaments are intact. No os acromiale.

ROTATOR CUFF: Supraspinatus, infraspinatus, subscapularis and teres minor tendons are intact. Mild tendinosis of the subscapularis tendon.

Severe chronic fatty replacement and significant fatty atrophy of isolated supraspinatus muscle is noted. Infraspinatus, teres minor and subscapularis muscles are normal in muscle volume.

There is a bilobed 10 x 5 mm cystic fluid containing structure near the suprascapular notch most compatible with cysts likely impinging on to a branch of suprascapular nerve innervating the supraspinatus muscle.

BICEPS TENDON AND ANCHOR: Intact.

LABRUM: Limited evaluation secondary to lack of joint distention. No evidence of displaced labral tear or paralabral cyst.

FLUID/OTHER: No significant fluid within the subacromial/subdeltoid bursa. No significant joint effusion.

BONES AND CARTILAGE: Bone marrow signal is normal. No focal cartilage defect.

 

[Kronic]

I only understand the part that you have a cyst that might be causing an impengment

 

[Sparta12]

^^ That is all I can interpret, a cyst and maybe some small mass (possibly still referring to the cyst) and some tendonitis... you really need to speak to a specialist, they will break it down 100% for you...

 

[celc5]

Who ordered the MRI?
Who are you planning to discuss the report with?

 

[Resolve10]

You aren’t going to get an intelligent discussion about mri findings on here from any actual experts…

 

[Aging Lifter]

MRI was ordered by a sports medicine Dr that I saw due to the pain I am experiencing. I'm waiting on a response from him.

 

[Kronic]

You aren’t going to get an intelligent discussion about mri findings on here from any actual experts…

someone might have had a similar one in the past, but not me no shoulder issues here.

 

[WesleyInman]

Plenty of us have had similar injuries to have an intelligent discussion.

I personally have had 2 partial rotator tears, partial labrum tear. Fractured acronium process, impingement at the joint, sublexation of the left shoulder.

Mine were result of a weightlifting injury and also a snowboarding accident.

Physical therapy helped me to heal the location minus surgery.

Bone spurs can be grinded down with a very minimally invasive procedure including possibly being scoped rather then full surgery fyi.

Here's a study that might help:

Intratendinous supraspinatus cyst as a cause of shoulder impingement

We report the case of a 29-year-old gentleman with shoulder impingement. An articular-sided intratendinous supraspinatus cyst was identified as the cause of his symptoms. Arthroscopic cyst debridement resulted in a good outcome at 1-year follow-up. Cysts ...

www.ncbi.nlm.nih.gov

 

[Resolve10]

Sharing experiences and interpreting a mri aren't the same thing.

We will just have people equating their issues to OP like it is the exact same as usual with the lack of needed nuance due to lack of true understanding of the information.

But I am sure it will help boost some egos.

 

[Resolve10]

I'd recommend researching sports PT in the area and finding someone with expertise to help. It may take a little searching and you may have some hit or miss issues with your first choice, but good luck.

 

[Kronic]

But I am sure it will help boost some egos.

 

[Aging Lifter]

Thanks guys

 

[celc5]

If you scope a cyst out, it can sometimes come back worse. And there's a relatively significant chance the cyst is harmless and not your issue anyway. So now u have a bigger cyst plus the original problem

Resolve, you are spot on with how cringe injury discussion is on forums. The problem with your point is that so is the discussion about training, nutrition, steroids, and supplements. Where do you draw the line?

 

[Resolve10]

If you scope a cyst out, it can sometimes come back worse. And there's a relatively significant chance the cyst is harmless and not your issue anyway. So now u have a bigger cyst plus the original problem

Resolve, you are spot on with how cringe injury discussion is on forums. The problem with your point is that so is the discussion about training, nutrition, steroids, and supplements. Where do you draw the line?

Idk lots of people here have no idea about training or supplements either so maybe it is hopeless.

Honestly though it’s more of the fact this is a medical question that actual experts in rehab would be better served answering or in a different internet discussion area where minds that know those things converse.

 

[Aging Lifter]

If you scope a cyst out, it can sometimes come back worse. And there's a relatively significant chance the cyst is harmless and not your issue anyway. So now u have a bigger cyst plus the original problem

Resolve, you are spot on with how cringe injury discussion is on forums. The problem with your point is that so is the discussion about training, nutrition, steroids, and supplements. Where do you draw the line?

What would be the original problem?

 

[celc5]

What would be the original problem?

It's just tendonitis. You probably never fully recovered from the past surgery and just slowly keep chipping away at the tendon. The "cyst" is likely a result of chronic irritation.

 

[Aging Lifter]

It's just tendonitis. You probably never fully recovered from the past surgery and just slowly keep chipping away at the tendon. The "cyst" is likely a result of chronic irritation.

Spoke with the Dr. According to him the cyst is pressuring a nerve and as a result one of my rotator muscles is essentially not functioning and has atrophied significantly. The atrophy of that muscle is the reason I'm feeling shoulder instability. He also noted there is still calcific tendonitis. He believes not removing the cyst would further degrade the rotator. They recommend arthroscopic surgery to remove the cyst and the calcium simultaneously. The hope is removing the cyst will trigger the nerve to start functioning and allow the rotator cuff muscle to return to normal function.