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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

  • Modality
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    • Ultrasound
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6 year old German Shepherd

October 31, 2016 By Allison Zwingenberger

Today we have a 6 year old female German Shepherd with a history of gagging and dyspnea, worsening over the last two weeks. What is your interpretation?

R LAT Neck
R LAT Thorax
L LAT Thorax
DV Thorax

Show findings...

Findings

Neck: There is a rounded soft tissue mass surrounded by cas in the caudal oral cavity and oropharynx. The mass occupies the majority of this space, however is not obviously originating from a specific tissue. The cranial esophagus is markedly dilated with outlining of the cranial esophageal sphincter by gas.

Thorax: There are patchy areas of increased opacity and air bronchograms visible in the cranioventral right cranial and right middle lung lobes. The esophagus contains some gas on both projections. The cardiovascular structures are normal. The mediastinum and pleural space are normal. In the portion of the abdomen included, the stomach is markedly distended with gas but normally positioned.

Show differential diagnosis…

Differential Diagnosis

  • Oral mass – soft tissue neoplasia, originating from tongue, gingiva, or soft palate
  • Pneumonia, possibly secondary to dysphagia from oral mass
  • Esophageal dilation – aerophagia most likely, motility disorder cannot be ruled out.

Show diagnosis…

Diagnosis

  • The pedunculated mass on the right side of the caudal tongue was resected
  • Embryonal rhabdomyosarcoma, completely resected. Doing well 3 months post surgery.

tongue mass

Filed Under: Canine, Case of the Day, Radiographs, Thorax

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