Michael Shilton

Hi Steve, the fluid wasn’t immediately visualised in that transverse views of the long head of biceps showed none including as far up as I could go to the rotator cuff interval. LS supraspinatus demonstrated a uniform bursal thickening and only when I moved much more proximal did it appear as significant amounts of fluid. If I remember correctly the image I’ve sent with the fluid is SSP in a neutral position rather than modified crass, I should have labelled it more carefully. So unless there’s a way of examining LHB over the humeral head other than following up to the interval that I’m not aware of I would plump for this being in the bursa not biceps.

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