Sunderland have been dealt another injury blow after Vito Mannone picked up an elbow injury.
Manager David Moyes is already without Fabio Borini (toe), Lee Cattermole (hernia) Jan Kirchhoff (hamstring), Seb Larsson (knee), and John O'Shea with a groin injury.
And now No 1 stopper Mannone has picked up an elbow injury.
Jordan Pickford was likely to start against Shrewsbury Town in the second round of the EFL Cup tomorrow night anyway.
But Mannone's injury is a concern.
Moyes told his pre-match press conference: "Vito also has a problem with his elbow that we're worried about and he will have it checked out.
"I don't think Fabio will make it. There's not much change with the others; Seb, Kirchhoff and Catts are long term."
The Italian goalkeeper was injured towards the end of a training session at the Academy of Light on Tuesday, around an hour before Moyes held his press conference ahead of the Shrewsbury match.
He injured his elbow in a collision with 17-year-old striker Joel Asoro.
Moyes added: "Vito, just at the last cross we were doing in training, went for a cross with young Joel and the two of them collided, it was his elbow.
"We don't know yet. I couldn't tell you exactly what the news is. It didn't look too good coming off the training pitch.
"He has gone to hospital for checks to see what it is."