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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 Four The Appendicular Skeleton 511<br />

A<br />

B<br />

Fig. 4-45 A <strong>and</strong> B, An 8-year-old female Weimaraner had been hit by a car 6 years previously <strong>and</strong> a<br />

fractured right femur was repaired surgically. A draining tract had persisted. The dog had become<br />

acutely lame during the last 2 weeks. There is a destructive lesion involving the middle portion of the<br />

right femur. Poorly organized <strong>and</strong> mineralized periosteal proliferation surrounds this area of bony<br />

destruction. The area of bony destruction is poorly defined within the medullary canal. There is a<br />

thin, somewhat linear bone density on the caudal lateral aspect of the midshaft femur (arrows). This<br />

represents a sequestrum. Diagnosis: Osteosarcoma at the site of previous surgical repair <strong>and</strong> chronic<br />

osteomyelitis. The site of this lesion within the femoral diaphysis is unusual for primary bone tumors.<br />

A chronic infection may have contributed to its occurrence at this site.

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