You are right its not good unfortunately
Did the MRA show compression in relaxed posture or just with the arms up ? The fact you have a thrill is concerning because (Im presuming the thrill is not positional) it suggests you have significant enough compression to cause turbulent blood flow and if so are then at significant risk of embolism (which if happened would require emergency surgery to save your limb). This is a much different situation to someone who has diminished pulses/blood flow in certain positions such as when their hands are placed over their head which is quite common in the population.I would ask the surgeon whether he thinks you are at significant risk of an embolism and also whether he thinks there may be any permanent narrowing of the artery which could be indicated by a non positional thrill.
Sorry,i wish it was better news