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Veterinary Radiology

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10 year old Vizsla

September 10, 2015 By Allison Zwingenberger

Today’s case is a 10-year-old male neutered Vizsla with cervical pain and progressive pelvic limb paresis. This is a very subtle case. What are your findings?

R LAT Spine
R LAT Spine
R LAT Spine
R LAT Spine
VD Spine
VD Spine
VD Spine
VD Spine
VD Spine

Show findings...

Findings

There is a mineralized disc in situ at the C6-7 intervertebral disc space. The body of C7 is shortened and is radiolucent with thin cortices. The body of C3 is sclerotic compared to surrounding vertebrae. There is enlargement of the facet joints at C4-C7. The patient is under general anesthesia with an endotracheal tube in place, and a small amount of fluid and gas in the esophagus.

Show differential diagnosis…

Differential Diagnosis

Lucency of C7 and sclerosis of T3 are most consistent with an aggressive process such as neoplasia. A multicentric or metastatic myeloma or other metastatic neoplasia (carcinoma, hemangiosarcoma, lymphoma) could also be considered. The degenerative intervertebral disc disease may be incidental.

Show diagnosis…

Diagnosis

An MRI was performed, and contrast enhancing tissue was found in multiple cervical and thoracic vertebrae as well as in the spinal canal and venous sinuses.

A1SAG_T1
A2SAG_T1_post
A3AX_T1_post

Necropsy examination found myeloma at these sites as well as invasion of the venous sinuses.

Filed Under: Canine, Case of the Day, CT/MRI, Musculoskeletal, Radiographs

Comments

  1. neuropetvet says

    October 19, 2015 at 4:05 am

    Hi, Allison. FYI…I was trying to work through this case today, but whenever I click on a radiograph, it takes you to the necropsy images…kind of gave away the answer before seeing the rads!
    Hope you’re well!
    Mark

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