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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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114 <strong>Small</strong> <strong>Animal</strong> Radiolo g y <strong>and</strong> Ultrasono graphy<br />

Fig. 2-90 A 13-year-old male<br />

Poodle with a 6-month history of<br />

chronic nonproductive cough. A, On<br />

the lateral thoracic view, there is a<br />

soft-tissue density superimposed on<br />

the tracheal shadow in the caudal<br />

cervical region extending into the<br />

thoracic inlet (arrows). This creates<br />

an impression of tracheal collapse. B,<br />

On a skyline projection of the trachea<br />

the lumen appears normal.<br />

There is slight indentation of the<br />

dorsal trachea (arrows). An esophagram<br />

was performed (C). The position<br />

of the esophagus can be seen<br />

overlying the trachea. Diagnosis:<br />

Normal trachea with no evidence of<br />

tracheal collapse.<br />

A<br />

B<br />

C<br />

a dynamic (fluoroscopic) contrast examination. Cineradiography or videotape with slow<br />

motion <strong>and</strong> reverse capabilities is necessary to record <strong>and</strong> completely evaluate the separate,<br />

rapidly occurring phases of swallowing.<br />

Ultrasonography is rarely useful in the evaluation of the intrathoracic esophagus. The<br />

cervical esophagus may be identified dorsal to, or left <strong>and</strong> lateral to, the trachea. The hyperechoic<br />

gas <strong>and</strong> mucus within the lumen help identify the esophagus.

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