Michael Pineda to get second opinion on right shoulder

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From MLB.com’s Bryan Hoch comes word that Yankees right-hander Michael Pineda is scheduled to visit with Dr. David Altchek on Wednesday in New York for a second opinion on his ailing shoulder.

Pineda underwent an extensive dye-contract MRI on Tuesday, the results of which won’t be revealed until Altcheck gets a look at them Wednesday.

Pineda hasn’t made a start for the Yankees due to lingering right shoulder weakness and was recently shut down at extended spring training, leading to legitimate concerns that this injury is severe.

The 23-year-old was acquired this winter from the Mariners for Jesus Montero and Hector Noesi. He registered a stellar 3.74 ERA, 1.10 WHIP and 173/55 K/BB ratio across 171 innings as a rookie in 2011.

Dodgers designate Sergio Romo for assignment

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The Dodgers announced on Thursday that the club activated pitcher Grant Dayton from the 10-day disabled list and designated pitcher Sergio Romo for assignment.

Dayton, 29, went on the disabled list earlier this month with neck stiffness. He’ll resume with a 3.63 ERA and a 20/12 K/BB ratio in 22 1/3 innings.

Romo, 34, signed a one-year, $3 million deal with the Dodgers in February. It didn’t really work out, as the right-hander posted a 6.12 ERA with a 31/12 K/BB ratio in 25 innings. His peripherals are still decent, so it wouldn’t be surprising if a team in need of a bullpen arm makes a deal with the Dodgers within the week.

Nate Karns underwent season-ending surgery for thoracic outlet syndrome

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MLB.com’s Jeffrey Flanagan reports that Royals pitcher Nate Karns underwent surgery for thoracic outlet syndrome on Wednesday. He’s expected to be ready for spring training next year. Karns went on the disabled list in May with an elbow injury and didn’t make much progress.

The Royals acquired Karns from the Mariners in January in exchange for outfielder Jarrod Dyson. Over eight starts and one relief appearance, the 29-year-old right-hander compiled a 4.17 ERA and a 51/13 K/BB ratio in 45 1/3 innings.

Karns will enter his first of three years of arbitration eligibility after the season, so he’ll be under the Royals’ control through 2020.