SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM
CASE 1 7 year old FS DSH Acute onset vomiting
L
R
WHAT WOULD YOU RECOMMEND?
ULTRASOUND
DIAGNOSIS/OUTCOME Perforated duodenal mass Patient was euthanized due to poor prognosis
CASE 2 6 year old MN DSH Vomiting
WHAT WOULD YOU RECOMMEND?
ULTRASOUND
DIAGNOSIS Presumptive IBD/enteritis Presumptive pancreatitis
CASE 3 11 year old FS Border Collie 3-4 week history of lethargy and anorexia
WHAT WOULD YOU RECOMMEND?
THORACIC ULTRASOUND
DIAGNOSIS/OUTCOME Mediastinal mass CYTOLOGY: MASS: Anaplastic adenocarcinoma PLEURAL FLUID: Modified transudate with hemorrhage and mesothelial reactivity
CASE 4 7 year old FS Miniature Pinscher Vomited up a piece of blanket
WHAT WOULD YOU RECOMMEND?
ULTRASOUND
DIAGNOSIS/OUTCOME Ultrasound: Multiple, fluid dilated intestinal loops Hard shadowing material Hyperechoic mesentery Surgery: Large portion of jejunum was dilated and ischemic Histopathology Severe transmural congestion and hemorrhage with multifocal villous blunting and necrosis
CASE 5 3 month old F Husky Patient jumped out of a truck, and was acutely lame
CASE 5 12 year old FS DMH Chronic cough
WHAT WOULD YOU RECOMMEND?
THORACIC ULTRASOUND
DIAGNOSIS/OUTCOME Thoracic ultrasound: Non-aerated right middle lung with multifocal angular mineralization Bronchoscopy: Inflammation, airway collapse, and mucus in the airways Cytology: Moderate to marked mixed, primarily neutrophilic and eosinophilic inflammation with mild macrophage reactivity was seen Findings consistent with eosinophilic disease such as feline asthma. Treatment: Prednisolone, Doxycycline pending Mycoplasma culture
CASE 6 4 month old MN German Shepherd Chronic regurgitation, thin body condition
DIAGNOSIS/OUTCOME Hospitalization for IV fluid therapy, Nebulization Amoxicillin, Baytril Frequent, small, elevated feedings Acetylcholine receptor antibody titers: Negative Cortisol levels: Normal
THANK YOU!! Questions? My is FEEL FREE TO ME WITH SUGGESTIONS FOR NEXT TIME