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

Fig. 3-155 A 7-year-old male mixed breed dog with hematuria<br />

for 1 month. Survey radiographs revealed an enlarged,<br />

irregularly shaped left kidney (see Fig. 3-136). The nephrogram<br />

phase of the excretory urogram revealed wispy, irregular,<br />

opacified tubular structures (black arrows) within the<br />

left renal mass consistent, with neovascularity associated<br />

with neoplasia. The right kidney had a flattened area in the<br />

cranial lateral margin suggesting a prior renal infarction.<br />

Differential diagnoses for the left renal mass included various<br />

forms of renal neoplasia. Diagnosis: Nephroblastoma.<br />

Fig. 3-156 A 10-year-old male Beagle with polydipsia <strong>and</strong><br />

polyuria. There is a marked global, smooth enlargement of<br />

the right kidney with dilation of the renal pelvis, compression<br />

of the diverticula (especially those draining the caudal<br />

pole), <strong>and</strong> obstruction of the ureter near the caudal pole.<br />

The left kidney <strong>and</strong> ureter are normal. Differential diagnoses<br />

include neoplasia, either primary or metastatic, with<br />

ureteral involvement or granulomatous disease. Diagnosis:<br />

Renal carcinoma with ureteral strangulation.

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