KANSAS CITY, Mo. – Hanley Ramirez missed a second straight start because of irritation in his right shoulder Wednesday, but Dodgers manager Don Mattingly said Ramirez did not receive a cortisone injection and could be available to pinch hit tonight.Ramirez will meet with team orthopedist Neal ElAttrache at Dodger Stadium before Thursday's game against the St. Louis Cardinals. Mattingly said he didn't know if an MRI was ordered on Ramirez's shoulder, which has bothered him off and on since June 10.