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

Occasionally, one or more small, round structures with calcified rims, so-called eggshell<br />

calcifications, will be seen. These structures, if not associated with any abdominal organ, are<br />

probably mesenteric cysts (cholesterol cysts) that are free in the peritoneum <strong>and</strong> are of no<br />

pathologic significance (Fig. 3-33). Occasionally, blood vessel walls may be calcified. These<br />

appear as pairs of thin linear calcific densities following the paths of the major arteries.<br />

These findings may be the result of advanced renal failure, hyperadrenocorticism, hyperparathyroidism,<br />

or atherosclerosis (Fig. 3-34).<br />

Fig. 3-33 A 5-year-old male Lhasa<br />

Apso with vomiting for 3 days. There<br />

is a structure with calcified borders<br />

(eggshell calcification) in the caudal<br />

ventral abdomen. Differential diagnoses<br />

include mesenteric cyst, cystic<br />

calculus, or intestinal foreign body.<br />

On the ventrodorsal view the structure<br />

was not located within the bladder<br />

or small intestine. Diagnosis:<br />

Mesenteric cyst. The dog’s vomiting<br />

resolved with symptomatic treatment.<br />

Fig. 3-34 A 13-year-old castrated<br />

Persian cat with chronic renal disease.<br />

There are fine linear calcifications<br />

outlining portions of the celiac<br />

(black arrow), cranial mesenteric<br />

(open white arrow), <strong>and</strong> renal arteries<br />

(solid white arrowhead). Differential<br />

diagnoses include calcification due<br />

to chronic renal failure, hyperadrenocorticism,<br />

or atherosclerosis.<br />

Diagnosis: Arterial wall calcification<br />

due to chronic renal failure.

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