Complete blood count and sedimentation rate were normal
Ultrasound done at the time of the initial visit showed a large mass adjacent to the long head of the biceps and lesser tuberosity. Case Photo #1. MRI scan was ordered which showed inflammation and a partial tear of the subscapularis. Case Photo #2
The patient was improving with treatment and the mass was decreasing in size on serial ultrasound images. Case Photo #3 and Case Photo #4.However, because of the persistence of the symptoms and concern for a possible malignancy, orthopedic consultation was obtained.
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