@bernese53 Mayo is amazing. My husband is in the process of retiring from the military and has said he wants to go work there (in a non-medical capacity since he does not have a background in that). We live in KS and I don't want to move so that's not going to happen. But, that shows how blown away he was while we were there for my PKD/PLD. If the specialists here cannot figure things out I will definitely consider going back to Mayo for their help. Will be interesting to see what their radiologists note in the MRA I sent them. If the spine specialist where I live does further testing like an EMG/nerve conduction test and it doesn't determine anything then I am going to push for another shoulder MRA done at a different facility. I do suspect this is cervical spine related though.