Mystery of Hidden Pearls: Bursitis in the Shoulder (ard.bmj.com)

• 52-year-old woman with rheumatoid arthritis and shoulder bursitis with rice bodies.
• MRI showed extensive bursitis with multiple rice bodies extending to axillary recess.
• Rice body formation as a rare complication of inflammatory arthritis.

"A 52-year-old woman with known rheumatoid arthritis presented with worsening joint pain. Imaging revealed subacromial-subdeltoid bursitis with multiple rice bodies extending to the axillary recess. TB screening was negative. This highlights a rare complication of rice body formation in rheumatoid arthritis."