Tsuna can only return Ryuutaro's look with an exasperated, apologetic look. at the very least he manages to get Fuuta and Reborn out of the room, but Bianchi... well, Bianchi does whatever she damn-well pleases... and she was certainly surprised to see Ryuutaro again.

She walks over to help Ryuutaro get Hayato back on the bed... uncaring that this was her fault to begin with... and also very, very, very used to this situation.

"I wasn't expecting to see you again... how has Hayato been?" The tone implies a 'today not withstanding'.