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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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Chapter Two The Thorax 121<br />

Fig. 2-96, cont’d C, An esophagram revealed that<br />

the contrast material outlined the dilated thoracic<br />

esophagus <strong>and</strong> did not extend beyond the level of<br />

the soft-tissue density. D, Erect lateral <strong>and</strong> erect<br />

ventrodorsal radiographs were obtained using a<br />

horizontal x-ray beam. The contrast material has<br />

moved into the caudal thoracic esophagus <strong>and</strong> outlines<br />

the soft tissue–dense mass. There is indentation<br />

of the contrast column with a central<br />

outpouching, indicating constriction of the<br />

esophageal lumen (arrows). The radiographic findings<br />

are indicative of a soft-tissue mass in the caudal<br />

thoracic esophagus. The erect radiographs with<br />

the horizontal x-ray beam are useful in demonstrating<br />

the mass more completely. Diagnosis:<br />

Squamous cell carcinoma of the caudal thoracic<br />

esophagus.<br />

C<br />

D<br />

redundancy that has clinical manifestations similar to those associated with vascular ring<br />

anomalies.<br />

Masses around the esophageal hiatus, caudal mediastinal abscesses or tumors,<br />

esophageal granulomas or tumors, hiatal or paraesophageal hernias, gastroesophageal<br />

intussusception, or diaphragmatic masses may be differentiated by an esophageal contrast<br />

study. Caudal mediastinal or diaphragmatic masses are extraluminal <strong>and</strong> may displace the<br />

esophagus but will not involve the esophageal mucosa.<br />

E S O P H AG E A L F O R E I G N B O D I E S<br />

Esophageal foreign bodies may be radiopaque <strong>and</strong> easily identified or tissue dense <strong>and</strong><br />

less readily detected. 250-253 Foreign bodies usually lodge at the thoracic inlet, cranial to

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