This case involves a middle aged female in Michigan who presented to her primary care doctor with pain in her right elbow. Her doctor provided her a referral to a cardiologist, who discovered that the pain was related to peripheral vascular disease that was limited to her elbow. She was later seen by a vascular surgeon who performed a procedure to remove plaque from her arterial walls, however she continued to experience pain. Some years later the patient presented for additional treatment, with complaints of pain and swelling in the joint. An MRI was performed, which revealed the presence of a mass located near the elbow joint. A subsequent biopsy of the mass revealed it to be a malignant desmoplastic spindle cell neoplasm. Eventually, the patient was forced to undergo an above-the-elbow amputation of her right arm.