Three dogs with presumptive cardiogenic pulmonary edema underwent a thoracic ultrasonographic examination. Multiple ring-down artifacts involving both sides of the thorax emanating from the pleural-lung interface were detected. When clinical and radiographic signs of pulmonary edema were resolved, ring-down artifacts were not observed. The ring-down artifact may be a useful diagnostic sign for screening the lung of animals with acute respiratory distress where radiographs are not feasible.
Retrocaval ureter and transposition of the caudal vena cava are each, rare developmental anomalies. We describe the usefulness of static fluid magnetic resonance urography and dynamic contrast-enhanced magnetic resonance urography in the diagnosis of these anomalies. Basic techniques, benefits, and drawbacks of magnetic resonance urography are presented.
A 7-year-old, West Highland White Terrier had a 5-month history of diarrhea, dysorexia, and weight loss. Sonographically, there was a focal area of intestinal thickening with loss of layering. A neoplastic or severe inflammatory condition was suspected and intestinal lymphangiectasia was diagnosed histopathologically. This patient seems to be the first description of intestinal lymphangiectasia appearing as an intestinal mass.
Twinkling artifact is a recently described color-Doppler phenomenon that has not been studied in the veterinary field. Our purpose was to assess the grade of the artifact in vitro with varying urolith compositions, and to evaluate its potential role in clinical practice. Five canine and feline uroliths types of 100% mineral composition were studied in vitro with color-Doppler sonography, and a prospective study was performed in 41 patients with renal, bladder, gallbladder, or digestive focal hyperechogenicities. The images were analyzed for the presence and the grade of the artifact. Phantom study demonstrated the constant occurrence of the artifact regardless of the mineral composition of uroliths. Mottled and rough surfaced stones produced higher grades of twinkling artifact. High-grade, color-twinkling artifact generated by stones occured frequently in vivo. Bladder crystalluria was more frequently detected by artifact visualization than sample urinalysis performed by cystocentesis. In veterinary medicine, twinkling artifact may thus be considered an additional sonographic feature of urinary stones, and can lead to a more appropriate management of patients presenting gray-scale sonographic focal hyperechogenicities.
An abdominal mass was incidentally detected in a 12-year-old, neutered female, crossed breed dog. Abdominal ultrasonographic examination showed a well-delineated, irregular, heterogeneous mass that did not generate any distal acoustic shadowing. Transcutaneous US-guided biopsy of the mass were nonconclusive but raised the possibility of neoplasia. Surgery discovered a mass embedded in the omentum and a large quantity of surgical sponges were identified in cut section. To the authors' knowledge, this represents the first published case of gossypiboma casting no characteristic distal acoustic shadowing.
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