CT cases 4 – February 2020

Advanced imaging has the ability to give clients and clinicians a much better idea of what is going on without the need for invasive investigation. Even in cases with a poor outlook getting a diagnosis can help inform potential treatment or just help owners come to terms with a poor prognosis. The cases below have all been seen here and been reported by VetCT.
 

CT Cases 4

Case 1– Ventral Neck Mass
Signalment: 9 year old male neutered crossbreed

History: right-sided ventral neck mass, FNA inconclusive

Differential diagnosis: foreign body, neoplasia, granuloma, sialocoele

Question for CT: what is the extent of the mass and what is it likely to be? Is surgical excision possible?

Area scanned: C1 to T2 with contrast

VetCT diagnosis: Suspect right thyroid carcinoma.

Vet CT report - click here
Case 2– Migrating foreign body
Signalment: 1 year 4 month old male neutered English Springer Spaniel

History: Pneumonia 6 months previously, recent discharging tract left lateral thorax.

Differential diagnosis: foreign body (fb), neoplasia, abscess

Question for CT: Is there a foreign body present, what is the path of migration?

Area scanned:  Thorax with contrast

VetCT diagnosis: Suspected left cranial lung lobe bronchial fb tract. Cellulitis of left 7th intercostal and external thoracic soft tissues. 0.5 cm hypoattenuating linear region, which may represent a migrated fb.

Vet CT report - click here
Case 3– Salivary Gland Disease
Signalment: 11 year 9 month old female neutered Basset Hound

History: Sudden onset swelling below right eye

Differential diagnosis:  abscess, salivary gland pathology, dental disease

Question for CT: What is the cause of swelling?

Area scanned: Head

VetCT diagnosis:  Mass of the right zygomatic salivary gland: sialadenitis, neoplasia such as carcinoma (less likely round cell tumour), sialocoele

Vet CT report - click here
Case 4– Discospondylitis
Signalment: 1 year 1 month old entire male Spaniel

History: diarrhoea, lumbosacral pain, reluctance for hip extension, lethargy

Differential diagnosis:  neoplasia, IVDD, inflammatory lesion

Question for CT: What is the cause of spinal pain?

Area scanned: T3 to sacrum, pelvis

VetCT diagnosis: Discospondylitis L7 - S1, hip dysplasia

Vet CT report - click here

To see more case examples and to find out more about VetCT visit the website. To refer a patient for CT please use our online referral form. If you have any further questions or wish to discuss a potential case for CT call on 01626 367972.

 


Founded in 2009, VetCT provides specialist telemedicine services for veterinarians all over
the world. Expert reports for radiographs (X-rays), MRI and CT scans are delivered with a
guaranteed rapid turnaround time. VetCT also provides specialist telemedicine advice and
offers 3D printing for veterinary applications. The company operates from three bases: one
in the UK, one in the USA, and the other in Australia, to provide 24-hour continuous service
to their veterinary clients. The high quality reporting service coupled with the company’s
unique educational approach sets them apart from others in this field. Learn more at
VetCT.com