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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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12 year old English Cocker Spaniel

February 4, 2021 By Allison Zwingenberger

Today’s case is a 12 year old male neutered English Cocker Spaniel with a soft, non-productive cough. Post your interpretations of the thoracic radiographs in the comments section.

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

Findings

There are multiple mediastinal masses visible. There is marked enlargement of the sternal lymph node and enlargement of the hilar lymph node. There is a large soft tissue mediastinal mass that is displacing the trachea dorsally. A round soft tissue opacity is present cranial to the heart on both lateral projections which is likely in the cranial mediastinum since the caudal border of it silhouettes with the heart. The cranial mediastinum is markedly widened on the d/v projection.

The liver extends caudal to the costal arch on both lateral projections and has a rounded caudal margin. The cardiovascular structures appear within normal limits.
Show differential diagnosis…

Differential Diagnosis

  • Sternal and mediastinal lymphadenopathy indicates lymphosarcoma.
  • Hepatomegaly may be due to lymphosarcoma, inflammatory disease or steroid hepatopathy.
Show diagnosis…

Diagnosis

Lymphosarcoma
Show discussion…

Discussion

Generalized lymphosarcoma often results in enlargement of lymph nodes within the thorax. Normally, the mediastinal lymph nodes, sternal lymph node and hilar lymph nodes are not seen on thoracic radiographs. When they are enlarged, they cause increased soft tissue opacity in the area and mass effects on neighboring structures. The cranial mediastinal lymph nodes can deviate the trachea dorsally, and the hilar lymph nodes can deviate the main stem bronchi ventrally.

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

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