Thank you for your input and questions.
A Thoracic surgeon was involved in the case as well and he often deals with vascular issues. Dr. Brown did a repeat CT with angiogram and showed plenty of space. I can get color back by raising my arm, but still achey.

For Jo*mar's questions- I had symptoms for almost 2 years before certain diagnosis. All symptoms started after repeat c-spine fusion done posteriorly 2 years ago, including 4 th and 5 th fingers curling up on both hands ( couldn't straighten on my own). After Scalenectomy, left hand now fully opens- yeah!

The color is initially blotchy, then progresses to blue/ purplish color if I don't raise it up over head frequently. The TOS is both neuro and vascular bilaterally. They removed only partial ribs of 1 st and 2 nd. I did not have congenital extra rib, but Dr Brown said my ribs are more vertical than he has ever seen before. I also had a branch of my subclavian artery that was in an unusual location and was clipped off. I guess my anatomy is a bit unusual.

I wonder if I should see a vascular surgeon before the right side is done next month. I love Dr Brown, but I realize the vascular issues that remain on the left may be something that I have to do something about.

It doesn't help that work urgently needs me back, but I have to have functional arms/ hands to do so.

Cheri