Left-hander Tsuyoshi Wada, who has not yet thrown a pitch for the Orioles, had an MRA on his ailing left elbow Tuesday and it showed ligament damage, according to manager Buck Showalter.

“Wada has an elbow issue, problems with the ligament, the MRA showed. We will contemplate, along with him, what the next direction (is) to take,” Showalter said. “But it showed some damage in there with the ligament that didn’t show up in the physical he took when he signed.”

Showalter would not go into specifics, but it can be assumed that Wada has at least a partial tear in the ligament. If that is the case, he could require rest and rehab or surgery – but either way he is likely to be shelved for an elongated period.

“I’m trying to be as frank with you without stepping into something I think he deserves to address,” Showalter said after Tuesday’s game. “We were hoping for a little better news about when we might get him back, but it wasn’t all bad. But it is still something he is going to have to (decide), along with our doctors, (who) will give their opinion on (it). I think he and his people are still gathering on what direction to go in.”

Wada had the MRA – a test that includes the injection of dye in the troubled area – in Baltimore on Tuesday.

Wada, 31, started 23 or more games in six of his past seven seasons in Japan. But he has been dealing with an elbow issue since joining the Orioles this spring after signing a two-year, $8.14-million deal in December.

He was limited in spring training and then pitched in one minor league rehab game with Triple-A Norfolk on April 19. He allowed six earned runs in 2 2/3 innings before being pulled. He later complained of neck soreness and then trouble with his elbow.

Also after the game, Showalter said he believes reliever Jim Johnson is still hospitalized awaiting tests after dealing with flu-like symptoms. His status for Wednesday’s game is in jeopardy, Showalter said.