Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These MRI Findings Indicate?
Question: what is the meaning of this MRI: 14mmx7mm calcification involving the distal anterior supraspinatus tendon in the critical zone, calcific tendonitis. no high grade partial or full thickness supraspinatus tear. Glenoid labrum: limited due to lack of intraatricular contrast and or gadolinium. no discrete tear. Small glenohumeral joint effusion. prominent subacromial/sbeltoid bursal fluid which could be secondary to the above mentioned calcific tendonitis or represent incompetent bursitis. Red marrow reconversion.
Brief Answer:
Indicates long standing inflammation in tendon.
Detailed Answer:
Hello XXXXXX
MRI findings suggest sequel of chronic inflammation in distal anterior supraspinatus tendon.There is a small calcification in distal anterior supraspinatus tendon.
Calcification develops due to long standing inflammation.
There is also small fluid in shoulder joint.It may be due to long standing inflammation in supraspinatus tendon.
Other findings are normal.There is no ligament or muscle tear around shoulder joint.
Reconversion of red bone marrow is a reverse process of natural replacement of red marrow by yellow marrow.It is a physiological response to increased hematopoietic needs of the body and it is seen in many conditions like smoking,obesity,respiratory problem etc.
You are rightly advised for steroid injections.It will reduce tendon inflammation and will relieve your symptoms.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Indicates long standing inflammation in tendon.
Detailed Answer:
Hello XXXXXX
MRI findings suggest sequel of chronic inflammation in distal anterior supraspinatus tendon.There is a small calcification in distal anterior supraspinatus tendon.
Calcification develops due to long standing inflammation.
There is also small fluid in shoulder joint.It may be due to long standing inflammation in supraspinatus tendon.
Other findings are normal.There is no ligament or muscle tear around shoulder joint.
Reconversion of red bone marrow is a reverse process of natural replacement of red marrow by yellow marrow.It is a physiological response to increased hematopoietic needs of the body and it is seen in many conditions like smoking,obesity,respiratory problem etc.
You are rightly advised for steroid injections.It will reduce tendon inflammation and will relieve your symptoms.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have already had 2 cortisone injections as well as therapy and it is not getting any better, what would be the next course of action?
Brief Answer:
Please find detail answer below.
Detailed Answer:
Hello XXXXXXX
If physiotherapy and steroid shots are not helpful then other options are ultrasound guided barbotage or surgery.
During ultrasound guided barbotage,calcified deposit is injected with a salt water solution and then calcium is also sucked out into a syringe.Involved area is then repeatedly washed.
Surgical excision is the last option.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Please find detail answer below.
Detailed Answer:
Hello XXXXXXX
If physiotherapy and steroid shots are not helpful then other options are ultrasound guided barbotage or surgery.
During ultrasound guided barbotage,calcified deposit is injected with a salt water solution and then calcium is also sucked out into a syringe.Involved area is then repeatedly washed.
Surgical excision is the last option.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
