October 2018

Is the mass anterior of the biceps tendon a cyst or something else?

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Clinical information

Middle age male patient with shoulder pain examined for SONOZORG a primary care ultrasound facility

Ultrasound Images & Clips

Is the mass anterior of the biceps tendon a cyst or something else

Another transverse image of the bicipital groove

Longitudinal image of the biceps tendon

Another longitudinal image of the biceps tendon with the cystic looking mass anterior

Transverse image of the subscapularis tendon

Calcific tendinosis

This is another patient with calcifications anterior of the biceps tendon

Transverse image of the same patient

This is another patient with calcifications clearly in the bursa

Longitudinal image of a calcific tendinitis in the resorbing phase don,t mistake this for a tendon rupture

Transverse image of the same patient

This is the X ray of the shoulder of the same patient

Conclusion

The lesion anterior of the biceps tendon is not a cyst but a resorbing calcification in the bursa.
In case of a calcific bursitis always look for a calcific (tendinosis) tendinitis.
Calcifications in the bursa or the tendon can have very different aspects depending on the state they are in. In this case the resorbing state

Details

Sex: Male
Body part: Shoulder

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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