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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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 Three The Abd omen 367<br />

Fig. 3-137 A 14-year-old neutered female<br />

domestic short-haired cat with vomiting. A<br />

<strong>and</strong> B, The left kidney is small <strong>and</strong> regularly<br />

shaped. The right kidney is normal.<br />

Differential diagnoses include hypoplasia,<br />

CIN, or chronic pyelonephritis. The cat<br />

responded to symptomatic therapy.<br />

Diagnosis: Hypoplasia of the left kidney.<br />

A<br />

B<br />

produce filling defects during the EU <strong>and</strong> may cause hydronephrosis with a dilated renal<br />

pelvis <strong>and</strong> urine evident surrounding the stone. This can also be seen during the ultrasonographic<br />

examination.<br />

Mineralized material within the GI tract may be mistaken for renal mineralization.<br />

Mineralization must be identified on both lateral <strong>and</strong> ventrodorsal radiographs to be certain<br />

that it is associated with the kidneys. If there is a suspicious density, additional radiographs<br />

to include oblique views <strong>and</strong> abdominal compression may be used. Repeating the<br />

radiographs after a few hours often allows the densities to change position if they are associated<br />

with the GI tract.<br />

Position Changes. An uncommon finding on survey radiographs is the presence of a kidney<br />

in an inappropriate position. Both kidneys in the cat <strong>and</strong> the left kidney in the dog are

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