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

Fig. 6-21 A 13-year-old neutered<br />

female mixed breed dog with vomiting<br />

<strong>and</strong> constipation. There is<br />

marked, smoothly bordered bony<br />

bridging between more than four<br />

lumbar vertebrae (white arrows).<br />

Diagnosis: Diffuse idiopathic spinal<br />

hyperostosis (DISH).<br />

Dural Ossification. Occasionally a fine linear calcified density will be noted on the edge<br />

of the dural tube. This represents ossification of the dura <strong>and</strong> is rarely of clinical significance<br />

(Fig. 6-24). 34,106 The thin, linear mineral opacity may extend continuously along several<br />

vertebral bodies. Its position <strong>and</strong> length help discriminate this lesion from<br />

mineralization of the annulus fibrosis or dorsal longitudinal ligament. On rare occasions<br />

this may be used to define the line of the dura <strong>and</strong> indicate the site of an extradural<br />

lesion. 107 This lesion usually is observed in older large-breed dogs <strong>and</strong> is more common in<br />

the caudal cervical <strong>and</strong> midlumbar regions.<br />

Fig. 6-22 A 9-year-old male Great<br />

Dane with fever, rear limb ataxia,<br />

<strong>and</strong> a palpably enlarged prostate.<br />

There is a moderately enlarged<br />

prostate, as well as irregular subchondral<br />

bone margins <strong>and</strong> periarticular<br />

osteophytosis of the articular<br />

facets of the lumbar spine.<br />

Diagnosis: Lumbar spine articular<br />

degenerative joint disease <strong>and</strong><br />

prostatomegaly. The dog’s clinical<br />

signs resolved after castration <strong>and</strong><br />

antibiotic therapy.<br />

Fig. 6-23 A close-up view of the<br />

L2-3 articulation of a 9-year-old<br />

Cocker Spaniel that did not have<br />

spinal symptoms. There is marked<br />

periarticular osteophytosis (white<br />

arrow) <strong>and</strong> irregularity to the articular<br />

surface (long black arrow). The<br />

cranial articulation (small black<br />

arrow) is normal. Diagnosis:<br />

Degenerative joint disease of the<br />

articular facets at L2-3.

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