Hi Samuel,
Nice images,
Personally I think the shoulder joint and bursa are normal.
I agree there is some fluid between the humerus and the distal biceps tendon but this fluid displaces the tendon anteriorly and I don’t think it is in the LHBT sheath / GH joint.
The arm musculature is where the problem is here,
It looks like a nasty infection involving the muscles of the upper arm.
As this collection reaches the cortex of the bone an osteomyelitis needs to be a consideration,
Whatever the cause, I think sepsis and abscess formation is the answer and I don’t think the shoulder GH joint is the source but rather humeral shaft or directly in the musculature.
I imagine they will try and aspirate the abscess and culture it to find the infection source and plain radiographs of the shoulder / humerus will also be of benefit.
Very interesting case mate.
Let us know what follow up you can discover.
Steve