This week’s case is an 11-year-old Pit Bull Terrier. This dog is lame on the left pelvic limb. What are your findings?
Left pelvic limb: There is a large, soft-tissue opacity mass in the left pelvic limb, caudal to the femur and tibia. The borders of the mass are irregularly margined. There is mottled soft tissue and fat opacity in the subcutaneous tissues of the distal pelvic limb, and the soft tissues are thickened. There is effusion in the left stifle joint with surrounding osteophyte formation. The tissues surrounding the prepuce are also thickened. No aggressive lesions are present in the femur or tibia.
Thorax: The cardiovascular structures are normal in size and shape. The thorax is hypoinflated. No pulmonary nodules are visible. There is a small convex opacity dorsal to the second sternebra. The mediastinum and pleural space are normal. There is mild osteophyte formation in the shoulder joints.
- Soft tissue sarcoma, less likely abscess or hematoma.
- Secondary soft tissue edema.
- No evidence of pulmonary metastatic disease.
- Possible sternal lymphadenopathy – evaluate for abdominal disease.
- Soft tissue sarcoma was diagnosed on cytology.
- A splenic metastatic lesion was also identified.