Diagnostic investigation of an unusually large osseous cyst-like lesion of the radial carpal bone

A 10-year-old Irish Sports Horse presented for intermittent, fluctuating lameness of the left forelimb. Nuclear scintigraphy, radiography and computed tomography identified a large osseous cyst-like lesion (OCLL) occupying approximately 50% of the radial carpal bone with an articular communication to the antebrachiocarpal joint. A transcortical surgical approach was used to curette the lining of the lesion prior to injection with triamcinolone acetonide. This imaging report describes the detailed diagnostic findings of an unusually extensive OCLL in the radial carpal bone.