distal tendon of biceps brachii ( RID2065 ) As is standard practice in the States, our US techs scan the patients and then review images with us. All too often (maybe because we are too busy, or maybe because were not entirely comfortable with MSK US) many of us are quick to accept what the technologists show us and base our reports on what is conveyed by their image labels and their scan notes. My (most excellent) technologist was amazed by this case, where she demonstrated a complete tear at the biceps myotendinous junction, And then a separate complete tear through the distal tendon. That made no sense. I needed to prove it and document the tear site. Slide 3 is the extended FOV showing the complete distal avulsion of the tendon off the radial tuberosity, retracted to the upper arm. The redundancy of the markedly retracted tendon created the confusing image (similar injury on MRI slide 4). Since the diagnosis was obvious to the referrer, our only job was to identify the site of the tear and the length of the defect. If we couldt get that right, wed have been utterly useless.