Young, unstarted horses can have all sorts of imperfect x-rays. Go to any TB yearling sale and you can find a horse with spurs, chips, lucencies, bone cysts, etc. These things may, or may not affect the horse in its career, but it will certainly impact the horse’s marketability and price.
I just sold a 3yo homebred TB, never raced or race trained, with maybe 40 light rides under saddle. The first PPE came back with “mild arthritis” in hocks. Second PPE, a different vet said the horse’s hocks were clean and completely fine. However, vet talked buyer into “just a couple films” of the horse’s back; horse palpated 100% pain free, no flinch or reaction anywhere, beautiful strong, solid topline. I don’t think the vet was expecting to find anything, just doing it “for the future”. And he found 3 areas of kissing spine; two that he called “Grade 2” and one “Grade 3” with a tiny spot of remodeling. This, on a horse barely going under saddle, started carefully by myself in a proper fitting saddle. No physical symptoms under saddle or on the ground. Vet said it was something he was born with… Buyer wanted to know, “will this get worse? Is it career limiting?” Vet couldn’t say, but said there are therapies to manage it if it became sore.
Thankfully the buyer LOVED this horse’s mind, and was willing to take the risk (for 40% reduction in price). It was a scary moment as a seller and breeder; I’ve done everything right to bring this horse up as a performance animal, with proper nutrition and thoughtful starting, but still couldn’t escape KS.