Case number 24 07/22/2008
 

A 12 year old mixed breed dog was presented due to restlessness and excessive panting.
Blood tests were  normal.
Physical exam was normal.
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Comments

Wed, 23 Jul 2008 08:49:07

There is a lytic process in the 6th lt rib. Increased opacity in the hilar region, widening of mediastinum with trachea deviation ventrally and laterally towards the right ,due to enlarged LN. Pulmonary nodules.

Primary rib tumor with mets to LN and lung?

 

Thu, 24 Jul 2008 14:16:51

The answer is now available

 

W

Wed, 11 Mar 2009 21:58:11

I disagree with the diagnosis of pulmonary neoplasia. On the VD there is clear irregular lysis of the 6th left rib with a faint opacity centered to it and a broad based directed to the lateral aspect. The left 7th rib is pushed caudally and closer to the 8th because of the mass effect caused by the lesion on the 6th rib. On the lateral view there is indeed an increased opacity caudodorsal to the heart base BUT NO mass effect is seen and this opacity does not silhouette with the lobar vessels to the caudal lung lobes which I can still see so that this opacity is certainly not a large lung mass. There are indeed nodular opacities consistent with pulmonary metastasis. The diagnosis should be primary rib neoplasia such as chondrosarcoma or osteosarcoma with likely pulmonary metastases.

 

Michal Hess

Thu, 12 Mar 2009 04:43:02

To W,
I see what you mean with he "lesion" over the ribs, it was something that was considered at the time, when the dog was evaluated. But this dog had a postmortem, which showed no rib neoplasia, and the pulmonary masses came back as adenocarcinoma.

 



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