C10002661 / invoice 10000

HI Tess Thank you for sending the radiographs of Nugget Finucane.With your clinical findings of pain below the left thoracic limb elbow, and increased radioopacity of the medulla of the proximal ulna, I would consider panosteitis a likely differential for the lameness noted, but can not rule out medial compartment disease of the elbows. .I have noted a few findings below Left Thoracic LimbIncreased medullary radiopacity of the proximal ulna, just distal to the elbow joint.The medial coronoid process is not clearly delineated on the mediolateral projection.Mild suspected subtrochlear (subchondral) sclerosis of the ulna.Physes of radius and ulna are open and appropriate for age.Carpus within normal limits.Right Thoracic LimbMild suspected subtrochlear (subchondral) sclerosis of the ulna.Physes are open and appropriate for the age.Carpus within normal limitsAssessmentSuspected panosteitis of the proximal ulna (left forelimb), consistent with your clinical findings of pain below the elbow joint of the left thoracic limb and radiographic radioopacity of this site. Mild bilateral subtrochlear sclerosisEarly medial coronoid disease  (cannot be ruled out radiographically)Recommendations / PlanInstitute NSAID therapy for 7–14 days.Strict activity restriction.Re-examination in 7 days is advisable to assess the response to medication If non-responsive or worsening, I would recommend a CT scan of both thoracic limbsYours sincerely Ross McGregor--- 04/03/2026 18:01:45 TM:ST Brooke, relayed resultsIs feeding LB puppy advanced kibbleTo keep him on the leaner side Another 7d onsior put aside - strict rest next 7 days then gradually increase over the next 7 days    Vital Signs