Self Assessment Imaging Case

Self Assessment Imaging Case

A. Avner BSc BVSc CVR MRCVS DVDI

A six years old male Labrador was presented at our hospital with history of vomiting, weakness and anorexia over four days. The owner noticed those clinical signs after the dog had disappeared for several hours. On presentation the dog was alert yet subdued. The abdomen was tens and painful. Initial complete blood count showed thrombocytopenia, neutrophilia with a left shift and mild anemia. Serum chemistry results were nonspecific: hypophosphatemia, mildly elevated hepatic enzyme activities, azotemia, moderate hyperbilirubinemia, hypoalbuminemia and hypoglycemia.


Abdominal radiographs (RLR and VD views) were produced (Fig. 1 A&B)

Fig. 1A

Fig. 1A


Fig 1B

 
Fig. 1B


1- Describe the abnormalities detected on the radiographs (Fig. 1A&B).

  

2- Name your most likely differential diagnosis and additional two possible diagnoses.

 

3- Which imaging modality would you use next and what would you be looking for?    



For The clinical investigation findings and final results press here