Interactive Case Tutorial

 Review the history and signalment for the client  Evaluate the radiographs provided  Explore the interactive images and compare the answers given with your own interpretations  Answer the questions regarding a diagnosis and recommendations  Review the radiologist’s findings

 Signalment: 7 month old, MI, Samoyed  History: presenting for left pelvic limb lameness of several days; reluctant to abduct hip  Study: Lateral and VD views of the pelvis  Technique note: ▪ The right pelvic limb is abducted on the VD view (should be positioned as the left pelvic limb) ▪ The pelvis is rotated

Medullary sclerosis throughout diaphysis (compare to right) Normal coxofemoral joint anatomy Medullary sclerosis throughout diaphysis (compare to right)

 Provide a diagnosis based on your findings. Submit Panosteitis of the left femur Normal pelvis Feedback Continue

 Provide your recommendation for this patient. Submit Rimadyl prescribed for pain management as needed. Allowed to exercise as able. Lameness should resolve on its own around skeletal maturity (1 year of age or so). Panosteitis can shift to involve other long bones. It may resolve and then recur. Feedback Continue

 Increased mineral opacity (sclerosis) with some lack of clarity of the endosteal surface throughout most of the medullary cavity of the diaphysis of the left femur  The coxofemoral joint anatomy is normal  The rotation of the pelvis causes artificial decreased coverage of the right femoral head and artificial improved coverage of the left femoral head