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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 Three The Abd omen 441<br />

Fig. 3-252 A 9-year-old male<br />

Norwegian Elkhound with<br />

stranguria for 2 weeks. The lateral<br />

radiograph revealed mild prostatomegaly<br />

(solid black arrow). The sublumbar<br />

lymph nodes show no<br />

enlargement, but there is a marked<br />

periosteal response involving the<br />

ventral aspect of L6 (open black<br />

arrow). Diagnosis: Prostatic adenocarcinoma<br />

with spinal metastasis.<br />

Fig. 3-253 An 8-year-old male<br />

Brittany Spaniel with blood dripping<br />

from the penis for 1 week <strong>and</strong> vomiting<br />

<strong>and</strong> anorexia for 3 days. The<br />

lateral radiograph revealed marked<br />

prostatomegaly that displaced the<br />

bladder (black b) cranially. Close<br />

scrutiny revealed streaks of tissue<br />

density in the normally homogenous<br />

fat density between the prostate <strong>and</strong><br />

bladder (white arrows). This usually<br />

is indicative of the spread of inflammatory<br />

cells through the capsule of<br />

an inflamed prostate. Differential<br />

diagnoses include prostatitis, prostatic<br />

neoplasia, or benign prostatic<br />

hyperplasia. Diagnosis: Prostatitis.<br />

either a normal study or a false-negative result (i.e., one in which a cystic prostatic<br />

structure does not communicate with the urethra). 862 Prostatic abscess, cyst, <strong>and</strong><br />

necrotic tumor may produce cavitation within the prostate, which can be filled<br />

with contrast during a contrast urethrogram. A small amount of contrast may reflux<br />

into a normal prostate. The finding of contrast within the prostate is therefore nonspecific.<br />

449,450

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