Posted by ESPN.com's Paul Kuharsky
William James played last week when Rashean Mathis was hurt in the second quarter, and James did not fare well. Omare Lowe is next in line, but was brought in more for special teams than the secondary. Gerald Sensabaugh, normally a safety in the nickel package, will play for Nelson. Pierson Prioleau will come ini as a nickel safety, allowing Brian Williams to shift to nickelback.
For the banged up Steelers, quarterback Ben Roethlisberger (right shoulder) is questionable. He's been getting hammered and if he can't go or gets knocked out, it will create a huge storyline: backup Byron Leftwich came into the league as the seventh overall pick to the Jaguars. He was cut last summer when the team decided to go with David Garrard.
Receiver Justin Gage (knee) is the primary concern. Listed as doubtful, he'll be replaced in the starting lineup by Brandon Jones with Chris Davis taking over as No. 3 and rookie Lavelle Hawkins as the fourth wideout.
Gage has been steady when he's been in, but this will be his second missed game in five. Reserve corner Reynaldo Hill (hamstring) is out. The Titans will not face Baltimore defensive tackle Kelly Gregg (knee), safety Dawan Landry (neck) or corner Samari Rolle (neck).