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Review Question - QID 216901

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QID 216901 (Type "216901" in App Search)
A 42-year-old male construction worker presents with right shoulder pain that has progressively worsened over the last several months. He was seen by his PCP for this, who prescribed physical therapy and NSAIDs. Despite this, the patient remained symptomatic and with difficulty performing his job duties. His PCP ordered an MRI of the right shoulder, which is depicted in figure A. The patient was then referred to a primary care sports medicine clinic where an ultrasound-guided barbotage of the lesion was performed with minimal effect on his symptoms. What is the most appropriate next step in management?
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