My MRI is negative so the consensus is I have TOS. Hopefully will have the surgery on the 18th. He is going to remove two scalenes and two ribs. He is also going to release the pec minor. Very scary surgery but he feesl I will have good results as we are catching it early but he believes the outlet is very tight because it is getting worse very quickly and I am so tender in both neck and chest. He is an awesome doc so far really takes his time to explain things. He has been doing this surgery a long time. I am very optimistic it will work as all of my many nerve surgeries have given me relief. Hope it works