How long has the clam been in the tank? It looks like it has decent growth on the shell, but I can't tell how close the far side is to that rock or if the rock is touching the shell based on that picture. A clearer picture might help, but from what I can make out of the mantle along the scutes, it looks like it might be "pinching" it up a little bit - I really can't tell from the picture though. Just the blue area (black), look like they have small folds in them along each scute.