Pyonephrosis refers an infected hydronephrotic kidney which arise from pyelonephritis followed by exudate accumulation in a dilated renal pelvis or hydronephrosis followed by ascending infection. Pyonephrosis may cause serious systemic complications, making prompt and reliable diagnosis critical. Clinical and ultrasonographic findings are used for the diagnosis of pyonephrosis in humans, but these findings have not been investigated in dogs. We reviewed ultrasonographic features in pyonephrosis in 18 dogs. Ten dogs with hydronephrosis were also evaluated to compare with the pyonephrosis patients. In most dogs with pyonephrosis, hyperechoic contents completely filled the dilated renal pelvis (n = 8) or a fluid-debris level was observed (n = 8). Hyperechoic contents were dispersed in renal pelvis in only two of the 18 dogs. Hyperechoic, edematous mesentery, and peritoneal and retroperitoneal effusion, which represented peritoneal and retroperitoneal inflammation, were observed in the perinephric region in 11 dogs. Compared with pyonephrosis, and as expected, hydronephrosis was characterized by anechoic contents within the urine-filled collecting system and there were no definitive findings to suspect peritonitis. Thus, there is a distinct difference in the sonographic appearance of pyonephrosis vs. hydronephrosis in dogs.

ABSTRACT. A 13-year old intact female poodle showed persistent signs of estrus. Ultrasonographically, a large cystic mass containing echogenic fluid with a thin wall was observed, and it was 8 cm in diameter. The cystic mass was located at the mesovarium between the left ovary and uterine horn, and it was identified as a giant parovarian cyst. A right ovarian mass was histologically diagnosed as a granulosa cell tumor. Persistent estrogen hormone secretion by the granulosa cell tumor was thought to cause a rapid increase in the size of the parovarian cyst. This rare cystic mass originated from the genital system and was differentiated from the uterus.

A 5 year-old, intact female Yorkshire terrier was referred for dysuria and dyschezia. The radiographic and ultrasound examination showed a round shaped mass caudal to the urinary bladder that contained anechoic fluid within the thin walls. During surgery, the cyst was noted to be attached to the outer wall of the vagina, not connected to the vaginal lumen. Cystic fluid was removed and the cystic wall was resected. Then the remaining cystic wall was omentalized to prevent a recurrence.Histological examination confirmed that the cyst was of Wolffian duct origin. In this case, a large Gartner duct cyst causing urological problems was diagnosed and removed by surgical resection.

A 3-year-old, intact female Pomeranian presented with a 1-month history of coughing. Thoracic radiography showed focal infiltration of the left cranial lung lobe and widening of the cranial mediastinum. Subsequent computed tomography revealed torsion of the caudal segment of the left cranial lung lobe, which was confirmed by exploratory thoracotomy. There was no apparent underlying etiology for the condition. To the authors’ knowledge, this is the first report of lung lobe torsion in this breed and the first detailed CT imaging report for segmental lung lobe torsion.

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