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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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8 year old English Bulldog

August 8, 2019 By Allison Zwingenberger

This week’s case is a 8-year-old male neutered English Bulldog. History of chronic osteomyelitis of the stifle. Progressive lameness on the right shoulder for 11 months.

R LAT Shoulder
R PA Shoulder
L LAT Shoulder
L PA Shoulder
R PA Shoulder
R PA Shoulder
R LAT Stifle
R PA Stifle

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Findings

Right stifle: There is marked osteolysis of the right stifle in the region of the joint capsule insertion. This is most apparent on the femoral metaphysis, tibial plateau. There is marked soft tissue swelling surrounding the joint which is displacing the patella away from the femur. The remodeling is smooth and there is no visible periosteal reaction. Right shoulder: There is a large soft tissue mass cranial and dorsal to the right shoulder. This is seen best when compared to the left, and is visible on the ventrodorsal flexed views. The other soft tissue and osseous structures of the thoracic limbs appear normal.
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Differential Diagnosis

Differential diagnoses for the shoulder mass include soft tissue sarcoma, other soft tissue neoplasia, or less likely granuloma. Changes in the right stifle are consistent with chronic effusion and synovial proliferation secondary to known sepsis.
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Diagnosis

Ultrasound guided fine needle aspirates of the mass were performed. Cytologic diagnosis was spindle cell sarcoma.

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

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