Today’s case is a 10 year old male neutered Yorkshire Terrier with hematuria and generalized pain. Can you find all the lesions?
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 10 year old male neutered Yorkshire Terrier with hematuria and generalized pain. Can you find all the lesions?
Neck: There are multiple regions of lysis with surrounding sclerosis and smooth periosteal reaction in the scapulae, humeri, and ribs. The vertebral bodies appear normal.
Pelvis: There is smooth periosteal proliferation on the proximal lateral and distal medial right femur. The left femur and the tibia and fibula appear normal. No lesions are noted in the pelvis. There is amorphous soft tissue opacity in the left caudal abdomen.
Polyostotic aggressive bone lesions are most likely due to metastatic disease. Abdominal ultrasound could be performed to investigate for primary lesions and determine the cause of hematuria. Thoracic radiographs are recommended for metastasis check.
Prostatic carcinoma with multiple skeletal metastases.
GreatlyAss says
A stupid question:
How can I explain that general pain without spine involved?
Allison Zwingenberger says
I think the extent of the skeletal involvement would account for the generalized pain.