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

Fig. 2-194 A <strong>and</strong> B, An 11-year-old<br />

spayed female Siamese cat with a<br />

2-year history of chronic coughing.<br />

The cough responded slightly to<br />

treatment with antibiotics <strong>and</strong> cortisone.<br />

Multiple nodules of varying<br />

sizes are present throughout all lung<br />

lobes. The right middle lobe is<br />

atelectatic. The radiographic findings<br />

are indicative of multiple softtissue<br />

masses, which may be<br />

neoplastic or granulomatous.<br />

Aspiration of one of these nodules<br />

revealed a granulomatous reaction<br />

secondary to lipid material.<br />

Diagnosis: Granulomas secondary<br />

to aspiration of mineral oil.<br />

A<br />

B<br />

some cases there may be a large mass <strong>and</strong> multiple small nodules. Infrequently, primary<br />

neoplasia may appear as numerous, ill-defined, small- to medium-sized masses (Fig. 2-197).<br />

Occasionally, calcification is identified radiographically within primary or metastatic<br />

lung tumors. <strong>Small</strong>, amorphous calcification may be present within large neoplastic tissuedense<br />

masses (Fig. 2-198).<br />

Bronchoalveolar carcinoma may appear as a solitary nodule in the middle or peripheral<br />

lung areas. However, a more common appearance is that of a poorly defined mass.<br />

Radiographically apparent tracheobronchial lymphadenopathy is an uncommon finding<br />

with primary or secondary lung tumors. When present, it is an unfavorable prognostic<br />

sign. Tracheobronchial lymphadenopathy occurs most often in association with multicentric<br />

lymphosarcoma or granulomatous disease.

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