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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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3 year old Labrador Retriever

May 2, 2019 By Allison Zwingenberger

This week’s case is a 3-year-old male neutered Labrador Retriever with one-month history of progressive left thoracic limb lameness. What are your differential diagnoses?

L LAT Thorax
R LAT Thorax
DV Thorax
L LAT Elbow
L LAT Elbow
L AP Elbow
L AP Elbow
Show findings...

Findings

Thorax: There is increased soft tissue opacity in the cranial thorax on the lateral projections, and widening of the mediastinum on the dorsoventral projections. The trachea is elevated on the lateral projections. The cardiovascular structures are normal. There is a mild diffuse interstitial pattern throughout the lungs.
Left thoracic limb: Neutral, flexed lateral, craniocaudal, and craniocaudal oblique projections of the left elbow are available for review. There is osteolysis of the humeral condyle and disruption of the cortex on the lateral projections. On the craniocaudal projections, a fracture line is visible traversing the lateral epicondyle with discontinuity of the cortex.
Show differential diagnosis…

Differential Diagnosis

  • Cranial mediastinal mass (lymphoma, thymoma)
  • Aggressive bone lesion of the left humerus with pathologic fracture (metastatic neoplasia, osteomyelitis less likely)
Show diagnosis…

Diagnosis

  • Disseminated T-cell lymphoma with metastasis to left humerus
  • Left thoracic limb was amputated, pathologic fracture confirmed

Pathologic fracture

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

Comments

  1. bdaggett93 says

    June 7, 2019 at 11:55 am

    If the data is available, what color was this Labrador?

    Thank you!
    Dr. Ben Daggett
    Tug Hill, NY

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