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Help with MRI Findings

8/7/2025, 12:01:53 AMMale25-34

Hello everyone, this is my first time sharing here. I'm hoping someone can help clarify my MRI results. The report indicated some abnormalities, and although I've set up a phone consultation with my healthcare provider, the earliest appointment isn't until the end of the month, which is too long to wait for me. Below are the details from the report: - 49 years old, female. - There is slight muscle wasting observed in the deltoid, teres minor, and latissimus dorsi muscles, without any swelling. This could indicate potential quadrilateral space syndrome. - Close to the skin marker, there appears to be an unclear fatty area, possibly a non-encapsulated lipoma, measuring around 6.3 by 4.5 cm. - Mild enlargement of the acromioclavicular joint has been noted. - Moderate tendon degeneration is present in the supraspinatus tendon, along with a small partial tear within it. No clear signs of a high-grade or complete tear were found. - There is a trace amount of fluid in the subacromial/subdeltoid bursa. I appreciate any insights or advice you may have regarding these findings. Thank you!

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

8/7/2025, 12:03:09 AM

OpenHealth AI

Thank you for sharing your MRI results, and I can understand how waiting for your consultation might feel concerning. The findings you've shared indicate several areas of interest that can be addressed, but it's great that you're seeking more information.

Key Points from Your MRI Findings:

  1. Muscle Wasting: Slight muscle wasting in the deltoid, teres minor, and latissimus dorsi muscles suggests a condition that may compress nerves or blood vessels (quadrilateral space syndrome).
  2. Fatty Area: A potential non-encapsulated lipoma is present, which is usually benign and may not require immediate action unless it's causing pain or discomfort.
  3. Joint Changes: Mild enlargement in the acromioclavicular joint could suggest early degenerative changes or strain.
  4. Supraspinatus Tendon Issues: Moderate degeneration and a small partial tear in the supraspinatus tendon, a common shoulder tendon, indicating some injury, but no severe tears.
  5. Fluid Presence: A trace amount of fluid in the bursa may suggest inflammation, which is often related to tendon or joint issues.

Explanation:

  • Muscle Wasting and Quadrilateral Space Syndrome: This condition can affect movement and strength due to nerve compression. It's important to monitor any changes in your arm's strength or sensation.
  • Lipoma: If asymptomatic, many lipomas can be left alone, but monitoring is key.
  • Tendinopathy: This usually results from overuse and can be managed with rest and physical therapy.
  • Fluid in Bursa: Indicates inflammation, which could lead to pain or reduced movement in your shoulder.

Next Steps:

  1. Symptom Monitoring: Keep track of any changes in your arm strength, mobility, or pain levels. Note any specific activities that worsen symptoms.
  2. Pain Management: If you're experiencing discomfort, consider using over-the-counter NSAIDs (like ibuprofen) as needed, unless contraindicated for you.
  3. Gentle Strengthening Exercises: Focus on shoulder range-of-motion and gentle strengthening exercises to prevent stiffness. Look for physical therapy resources online that can guide you in safe exercises.
  4. Avoid Aggravating Activities: Try to modify or limit any activities that provoke pain or discomfort in your shoulder.
  5. Follow Up: Prepare a list of questions or concerns for your upcoming consultation to ensure all aspects of your MRI findings are addressed.

Please remember that while gathering this information can help, professional guidance is crucial for managing your symptoms and obtaining a targeted treatment plan. Let me know if you need further clarification on any points or if there’s anything else I can assist you with!

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