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There is a linear echogenic focus ( 13 mm ) on the dorsal aspect of hand; aligned along 5th metacarpus long axis. It overlies the distal end of the 5th metacarpus. It is a foreign body. It is surrounded by elongated hypoechoic soft tissue thickening; measuring 23 x 7 x 6 mm. It is superficial to intact extensor tendons. It is a granuloma. There is local hypervascularity. There is no tendon tear/ joint effusion/ underlying cortical erosion.