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

Fig. 4-55 A 5-year-old male Golden<br />

Retriever with an ill-defined lameness<br />

<strong>and</strong> weight loss. The lateral view<br />

of the right elbow reveals an illdefined,<br />

lytic lesion that lacks clearly<br />

defined margins <strong>and</strong> involves the<br />

proximal radius. No periosteal reaction<br />

is evident. Similar lesions were<br />

present in the pelvis <strong>and</strong> left tibia.<br />

Diagnosis: Lymphoma.<br />

Fig. 4-56 A 10-year-old male German Shepherd dog with<br />

lameness in the left foreleg of 1 month duration. A periprostatic<br />

cyst had been removed 5 months previously. There is a<br />

destructive lesion involving the central portion of the radial<br />

diaphysis. A faint periosteal proliferation is evident cranial to<br />

this area of bony destruction (arrows). There is poor demarcation<br />

of the lesion from the surrounding normal bone.<br />

Increased density surrounds this area of bony destruction,<br />

especially on the caudal proximal aspect of the ulna.<br />

Diagnosis: Metastatic neoplasm. This was a metastatic prostatic<br />

adenocarcinoma.<br />

M E TA S TAT I C T U M O R S<br />

Tumor metastases to bone may occur with tumors arising from parenchymatous organs or<br />

primary bone tumors. 130,134,203-213 Tumor metastases to bone are more commonly metaphyseal<br />

but occasionally may be diaphyseal. The commonly reported sites include the<br />

femur, humerus, <strong>and</strong> tibia, although any bone may be involved <strong>and</strong> the lesion is frequently<br />

polyostotic. The radiographic appearance of metastatic lesions varies. Metastatic lesions<br />

may be osteolytic, osteoblastic, or mixed (Figs. 4-56 to 4-58). Soft-tissue swelling usually is

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