Hello

I have a 7 year old Newfie-x that has a mild intermittent lameness of the Rt forelimb. A palpable mass/swelling is present proximal to the accessory carpal bone. It is firm and non-painful. The foot does not appear to hyperextend greatly if at all.

X-rays showed a soft tissue swelling, a previous FNA was inconclusive. 

Hello

I have a 7 year old Newfie-x that has a mild intermittent lameness of the Rt forelimb. A palpable mass/swelling is present proximal to the accessory carpal bone. It is firm and non-painful. The foot does not appear to hyperextend greatly if at all.

X-rays showed a soft tissue swelling, a previous FNA was inconclusive. 

When we saw the dog we were thinking injury related swelling more than a mass. We ultrasounded the area to determine if there was a mass like appearence. None was seen and we were suspicious of a flexor carpi ulnaris tear/inflammation etc…

I attempted to ultrasound the tendon on the Lt (good leg) and Rt (bad leg); Easily palpable on the Lt and less so on the Right

I had researched previous images of a similar ultrasound and I placed the probe directly over the tendon but still had difficulty interpreting. My feeling is that the Rt shows inflammation but I was unsure where to get acurate measurements from. We are relatively certain of the diagnosis without the US but I was hoping for some guidance and interpretation of my US images.

I am very excited about adding ultrasound to orthopedic problems similar to the case of the month. Will definitely be following up with CE next year (currently have 2 large veterinary construction projects that take a vast majority of my time). Will find time next year for the orthopedic course. Appears incredibly interesting and very useful.

Thanks Brent