This blouse would easily be a 5 star item if the sleeves weren't so tight (the shirt itself looks to be of good quality). I am 6'0" about about 175 lbs. I am not "skinny" but I am not overweight, either. I purchased a large which fits nicely across my shoulders and chest, and the length is good. What isn't good is the way the sleeve fits from about 2 inches above my elbow to 2 inches below my elbow. These sleeves are too tight and here is no way I can roll these sleeves up above my elbow--in fact, the sleeves are so small that the shirt itself is uncomfortable if I leave the sleeves long. Maybe I got a shirt that was weirdly cut, but if they are all this sized this way I would not recommend buying one unless you have extremely skinny arms.
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