Page 213 - Veterinary diagnostic imaging birds exotic pets wildlife
P. 213

Chapter 20










                                      The Torso





















                    III NORMAL ANATOMY                                   III THE EXTERIOR TORSO

                    Birds lack a diaphragm—at least in the mammalian     The Thoracic Spine, Ribs, Keel, and
                    sense of the word—and instead have a thin sheet of   Body Wall
                    connective tissue separating the lung from the remain-
                    ing viscera. This tissue is called the horizontal septum   As with the radiographic assessment of any symmetri-
                    and serves no respiratory function.                  cal part or parts of the body, accurate positioning is
                       Thus there is no internal division into a thorax and   the key to success. The exterior torso is no exception.
                    abdomen but rather a single large cavity termed the   If equipped with well-positioned lateral and ventro-

                    celom or celomic cavity, which contains the abdominal   dorsal (VD) views of the torso, the film reader is
                    organs, including air sacs. Figures 20-1 through 20-7   afforded the opportunity of comparing and contrast-
                    sequentially reveal the exposed viscera of a red-tailed   ing either side of the rib cage, along with the interven-
                    hawk positioned on its back during the dissection.   ing soft tissues and surrounding bones and joints.
                                                                         The diagnostic benefits of a comparative radio-

                                                                         graphic assessment cannot be overemphasized (Figure
                    III ANATOMICAL-RADIOLOGICAL                          20-9).
                         CORRELATION                                       Although lateral projections do not lend themselves
                                                                         to right-left comparisons, they nevertheless constitute
                    Using conventional radiography, the abdominal viscera   a valuable diagnostic asset, especially when projected
                    are necessarily displayed as a kind of two-dimensio-  in a true lateral manner (Figure 20-10), thus reducing
                    nal montage, with the shadows of individual organs   or eliminating geometric distortion, a potential source
                    superimposed on one another in a single fl attened    of radiographic misdiagnosis.
                    layer (Figure 20-8, A). The resulting absence of depth   Fractures of the thoracic spine and ribs are associ-
                    perception can be partially mitigated by the addition   ated with high mortality, and as a consequence, few
                    of one or more right-angle (orthogonal) or oblique pro-  such birds are radiographed. Sternal fractures, although
                    jections, but one should remember that not every organ   not usually fatal in their own right, are often associated
                    may be seen in every view (Figure 20-8, B).          with serious wing fractures and untreatable internal
                       In any event, it generally is the larger organs, such   injuries leading to euthanasia.
                    as the heart and liver, or those containing natural con-  The incidence of deep and superfi cial subcutaneous
                    trast, such as the gizzard and bowel, that are most   emphysema in birds is surprisingly low given the
                    visible and thus are radiographically detectable. In   frequent occurrence of wing fractures, probably a
                    effect, the diagnostic exercise becomes one of silhou-  result of protection provided by the feathers. When
                    ette analysis, discussed later in this chapter.                                     Text continued on p. 216.
                                                                                                                      209









                                                                                                                      2/11/2008   11:08:41 AM
           ch020-A02527.indd   209
           ch020-A02527.indd   209                                                                                    2/11/2008   11:08:41 AM
   208   209   210   211   212   213   214   215   216   217   218