HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does My MRI Scan Report Indicate?

Can you please help me with the below..i cant see my orthopedic surgeon till next week...Can you please let me know if you think this will require surgery? Below are the MRI results...thank you MRI RIGHT SHOULDER Indication. Right shoulder pain. Repetitive overhead action. Technique. Axial, sagittal and coronal PD fat-sat. Coronal T2 fat-sat. Axial and sagittal T1. Findings. There is normal alignment and bone marrow signal. There is a small glenohumeral joint effusion. There is an oblique partial tear of the supraspinatus tendon, measuring 9 mm in short axis x 5 mm long axis. The tear is predominantly linear interstitial in morphology, but demonstrates focal extension to the bursal surface fibres anterolaterally, and the articular surface fibres posteromedially in keeping with a full thickness partial tear pattern. There is focal loss of the conventional convex cuff margin laterally and a small overlying subacromial bursal effusion. There is no delamination or fibre retraction. There is no muscle atrophy or fatty infiltration. The rotator cuff tendons are otherwise intact. The long head biceps tendon is intact. There is PD hyperintense linear fluid signal undermining the anterior glenoid labrum from 2:00-4:00 position associated with minor surface irregularity suspicious for a small labral tear, with no SLAP component. The glenoid and humeral cartilage is preserved. The inferior glenohumeral ligament complex and posterior labrum are intact. There is a type I flat acromial undersurface with downsloping laterally, but preservation of the subacromial space, (8 mm). The acromioclavicular joint is unremarkable. Conclusion. 1. There is an interstitial partial tear of the supraspinatus tendon, with a full-thickness component and a small overlying subacromial bursal effusion. There is no retraction, and no rotator cuff muscle atrophy or fatty infiltration. 2. Small non-displaced anterior labral tear.
Tue, 24 Nov 2015
Report Abuse
Radiologist 's  Response
Hello,

This shows a tear in the muscle that helps raise your arm over your head (supraspinatus). It does not require immediate surgery, but does require rest or reduced strain. Some surgeons operate on such tears if your lifestyle is likely to worsen the tear.
The other thing is a small tear in the soft tissues of the shoulder joint that enable smooth movement. If this does not worsen, then no surgery is needed for that either.

I would advise you to reduce the amount of activity the shoulder gets until you can see your orthopaedic surgeon. Your surgeon when he assesses you clinically, coupled with the MRI, is able to determine whether or not you need surgery.

All the best.
I find this answer helpful
Radiologist Dr. Elijah Kwasa's  Response
Hello,

This shows that the supraspinatus tendon (muscle involved with raising your arm upward) is partially torn. If you perform repetitive actions with this shoulder in this manner, you may need to limit that to allow healing. Otherwise, surgery may be the option to fix the tear.
The second thing is that some soft tissue that helps your joint move without friction has a small tear.
All of these can cause joint pain, but each on their own do not need surgery. For now, resting the joint should be adequate until you see your orthopaedic surgeon.

All the best.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Does My MRI Scan Report Indicate?

Hello, This shows a tear in the muscle that helps raise your arm over your head (supraspinatus). It does not require immediate surgery, but does require rest or reduced strain. Some surgeons operate on such tears if your lifestyle is likely to worsen the tear. The other thing is a small tear in the soft tissues of the shoulder joint that enable smooth movement. If this does not worsen, then no surgery is needed for that either. I would advise you to reduce the amount of activity the shoulder gets until you can see your orthopaedic surgeon. Your surgeon when he assesses you clinically, coupled with the MRI, is able to determine whether or not you need surgery. All the best.