The case for today is a 9-year-old male neutered Labrador Retriever with anorexia and vomiting. Take a look and see what you think!
Case originally posted on September 27, 2007
Teaching and learning about veterinary diagnostic imaging.
The case for today is a 9-year-old male neutered Labrador Retriever with anorexia and vomiting. Take a look and see what you think!
There is increased soft tissue opacity and widening of the cranial mediastinum. The trachea is elevated cranial to the heart. There is also a broad-based soft tissue opacity dorsal to the second sternebra. There are multifocal, irregular mineral opacities throughout the lung that represent pulmonary osteomas.
There is irregular periosteal reaction on the left humerus.
Though we can see there is an abnormality of the humerus on the edge of the film, radiographs of the bone will characterize it better. We also have multifocal or systemic disease, so we need to look for additional problems in the abdomen.
The thoracic findings indicated lymphadenopathy of the cranial mediastinal and sternal lymph nodes. The humeral lesion was just visible on the edge of the radiograph. It’s unusual to have bone involvement with lymphoma and more common with fungal disease.
Case originally posted on September 27, 2007
Adam says
Possible lytic lesion at the C6 vertebral body as well?
Allison Zwingenberger says
Hi Adam,
Good eye! I actually see this from time to time, and I think it’s an artifact of how the transverse process of C6 overlaps the vertebral body. It’s very round and smooth, unlike the humeral lesion.
AZ
emilycarlo says
Hello Allison,
First, thank you for so many intersting cases…
Now, was the humerus painful? Was there any other similar lesions on radius, ulna…? Thinking of hypertrophic osteopathy.
Allison Zwingenberger says
Hello Emily,
Hypertrophic osteopathy is a good thought given the thoracic mass. That was the only bone lesion found in this dog. Also, the character of the periosteal reaction is more aggressive than we normally see with HO and there is some lysis present as well. This makes it more likely to be a bone lesion rather than HO.