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

Fig. 3-228 A 9-year-old male<br />

Samoyed with stranguria for 3<br />

weeks. The urethrogram revealed<br />

irregularity to the urethral mucosa<br />

immediately distal to the ischial arch<br />

(solid white arrows) as well as cavitation<br />

of the prostate (open white<br />

arrows) <strong>and</strong> prostatic enlargement.<br />

Differential diagnoses include prostatic<br />

neoplasia with extension to the<br />

urethra or cavitating prostatitis <strong>and</strong><br />

urethritis. Diagnosis: Prostatic carcinoma<br />

with extension down the<br />

urethra.<br />

Fig. 3-229 A 7-year-old male<br />

Cocker Spaniel with chronic stranguria.<br />

The urethrogram revealed<br />

narrowing of the urethra proximal to<br />

the os penis (white arrows), which<br />

was present on multiple views. The<br />

differential diagnoses include urethral<br />

neoplasia or periurethral fibrosis.<br />

Diagnosis: Periurethral fibrosis.<br />

for urocystolith detection. It can be summarized by saying that even under simulated ideal<br />

conditions (e.g., no patient motion, bladder adequately distended), ultrasonography at best<br />

matched contrast radiography for detection of urocystoliths. 438 However, it did not provide<br />

any useful architectural insight that would help predict the mineral type of the urocystoliths.<br />

Therefore ultrasound users must be aware of the potential shortcomings <strong>and</strong><br />

realize that for these reasons as well as the inability to image the urethra using ultrasonography,<br />

contrast radiographic techniques are far from antiquated.

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