need help. What does this mri of my shoulder mean

Bones, joints and muscles
1

i had a mri of my shoulder last week and i have no idea what any of it means?  Can anyone interpret?

FINDINGS:

ACROMIAL OUTLET: There is widening of the acromioclavicular joint. There

are hypertrophic changes of the clavicle and the

acromion and there is narrowing of the subacromial

space. The anterior supraspinatus is slightly

compressed from the hypertrophic changes of the

distal clavicle. Additionally, there is a small displaced

corner fracture of the clavicle anteriorly, chronic.

There is a small amount of fluid in the

subacromial/subdeltoid bursa and there is slight

thickening of the coracoacromial ligament. There is

indistinctness of the coracoclavicular ligament and

capsule and mild synovitis.

ROTATOR CUFF:

Supraspinatus: There is slight indistinctness along the bursal surface

of the tendon in the critical zone with mild fraying and

intermediate intrasubstance signal primarily in the

myotendinous junction. No significant tear. There is

no fatty infiltration or atrophy.

Infraspinatus: Mild intrinsic signal abnormality with no significant tear.

Teres minor: Normal.

Subscapularis: No evidence of tendinosis. No partial or full-thickness

tear. No muscular atrophy.

LONG HEAD BICEPS TENDON: Normal in position and mild tendinosis in the rotator

interval. The biceps-labral complex is intact.

LABRUM AND CAPSULE: The labrum is normal with no labral tear or paralabral

cyst.

CARTILAGE: Normal.

BONES: There is periostitis of the distal clavicle and there are

mild marrow infiltrative changes present within the

distal clavicle.

SOFT TISSUES: There is slight thickening but intact coracoclavicular

ligament.

IMPRESSION:

1. Chronic manifestations of an AC joint separation with widening of the acromioclavicular

joint as well as a small chronic nonunited fracture of the anterior distal corner of the

clavicle. This is associated with capsular hypertrophy and synovitis and there are mildly

hypertrophic changes of the distal clavicle. The distal clavicle results in narrowing of the

subacromial space.

2. There is periostitis of the distal clavicle present which appears subacute but not chronic.

This could indicate periostitis reactive from an adjacent arthropathy or synovitis of the

acromioclavicular joint, interval trauma, or repetitive microtrauma.

3. There is narrowing of the subacromial space with slight flattening of the supraspinatus,

mild localized bursitis, and thickening of the coracoacromial ligament. Tendinosis of the

supraspinatus tendon is present with mild fraying but without significant tear. There is

also mild tendinosis of the infraspinatus tendon without significant tear.

4. Tendinosis of the long head biceps tendon present in the rotator interval. The bicepslabral

complex and glenoid labrum are intact.

2

Well your lucky you won't need a implant 

3

Hi Sarah. Were you told to see your own GP? It's all very technical but he/she should be able to understand the implications and refer you to the correct orthopoedic surgeon if necessary. Did you have a fall? Sound as though you might have some arthritis in your shoulder but only they can say and do what needs doing if anything. How old are you? I had a split rotator cuff a few years ago which was operated on and although I still have OA in the joint it functions well. Good luck in your diagnoses, see your doctor asap. Ellie UK

4

I did fall like 10 years ago and separated my ac joint. I'm not sure where the fracture came from. I'm going in next week to have a emg to see if there is nerve damage, but it seems like if there were the MRI would have shown that. I am 39.

5

Dont like those mri scans in that little pipe mine was in the back of a lorry