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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 233<br />

Fig. 2-220 A 9-year-old neutered<br />

male Russian Blue cat had acute,<br />

severe dyspnea. Examination of the<br />

lateral view of the cervical area<br />

reveals a tissue-dense mass in the larynx<br />

(arrows). Diagnosis: Squamous<br />

cell carcinoma of vocal fold <strong>and</strong><br />

larynx.<br />

Fig. 2-221 A 2-year-old male<br />

Labrador Retriever was evaluated for<br />

a 1.5-year history of progressive respiratory<br />

disorder. There is a large<br />

soft tissue–dense mass in the region<br />

of the laryngeal cartilages (wide<br />

arrows). It appears to involve both<br />

the arytenoid <strong>and</strong> thyroid cartilages.<br />

A second soft tissue–dense mass is<br />

evident dorsal to the cricoid cartilage<br />

(long arrows). The esophagus caudal<br />

to this mass contains a small bolus of<br />

air. Diagnosis: Granuloma.<br />

L A RY N G E A L S T E N O S I S<br />

Congenital or acquired laryngeal stenosis may deform the larynx <strong>and</strong> narrow or obliterate<br />

the airway. Acquired stenosis may occur following trauma or laryngeal surgery. The luminal<br />

deformity or irregular cartilaginous calcification may be recognized radiographically.<br />

L A RY N G E A L PA R A LY S I S<br />

Laryngeal paralysis usually does not produce any static radiographic abnormalities. The<br />

shape of the lateral ventricles may become more rounded instead of elliptical or may be<br />

obliterated. Obstruction of the laryngeal airway may result in distention of the pharynx<br />

<strong>and</strong> caudal migration of the larynx as the animal attempts to inhale. The cervical trachea<br />

may narrow <strong>and</strong> the thoracic trachea may dilate if resistance to airflow is marked.

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