I had barbotage on my shoulder in December to remove calcific tendonitis. Since about March I have had severe pain at night. Had an MRI and here are the results… From my limited research looks like I’ll beneeding surgery to remove the cyst. Nit sure what else. Any thoughts would be appreciated.
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.