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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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 519<br />

Fig. 4-57 A 10-year-old female Doberman Pinscher with a<br />

right limb lameness <strong>and</strong> generalized stiffness with difficulty<br />

getting up <strong>and</strong> down. Multiple cutaneous nodules were<br />

present. Both right <strong>and</strong> left rear limbs were radiographed.<br />

The right stifle is illustrated. There are multiple areas of<br />

increased medullary density involving the distal right femur<br />

<strong>and</strong> proximal <strong>and</strong> middle portions of the right tibia. Similar<br />

densities were noted within the diaphysis <strong>and</strong> metaphysis of<br />

the left femur <strong>and</strong> tibia. These intramedullary densities with<br />

no evidence of periosteal proliferation are suggestive of disseminated<br />

bony metastasis. Diagnosis: Metastatic carcinoma.<br />

Fig. 4-58 A 6-year-old male English Pointer had been lame in the<br />

right hind limb for 1 week. There is a focal lytic lesion in the lateral epicondyle<br />

of the femur (arrows). Diagnosis: Metastatic bronchogenic<br />

carcinoma.

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