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66  Section I: Diagnostics and Planning






























            A                                                 B
           Figure 6.8  A 13‐year‐old male Shetland sheepdog presented for severe lumbosacral pain. (A) Left lateral thoracic radiograph exhibiting an incidental focal
           thoracic nodule dorsal to the carina. (B) Sagittal T2‐weighted MRI of the caudal vertebral column showing moderate intervertebral disc protrusion and
           decreased disc signal intensity at L7–S1.



           A                                                  B
























           Figure 6.9  CT of the thoracolumbar region in a 12‐year‐old female Jack Russell Terrier dog presenting acute paraplegia. (A) Sagittal reformatted image showing
           severe bone lysis of the T10 vertebra, shortening of the vertebral body length, and minimally displaced compression fracture. (B) Transverse image showing mul-
           tifocal pulmonary nodules. Final histopathological diagnosis was primary vertebral osteosarcoma with vertebral pathological fracture and pulmonary metastasis.
           concurrently, and for assessing the patient’s general health   Although abdominal ultrasound can be complementary to radi-
             status for surgical and anesthetic risk evaluation purposes.   ography, since the combination of both imaging modalities results
           Accordingly, abdominal ultrasound is strongly recommended   in more information relating to size, shape, and position of organs,
           in animals older than 6 years, and those with suspected spinal   ultrasound alone provides accurate information regarding the out-
           neoplasia,  trauma,  infectious  disease,  or  other comorbidities   line and architecture of tissues [29]. Ultrason ography can be per-
           (Figures  6.11 and 6.12). Metastatic carcinomas, particularly   formed anywhere along the abdominal wall, the only impediment
           those arising from the mammary gland, prostate and urinary   being bone and gas‐filled structures, which should be avoided. If a
           bladder, have a predilection to metastasize to the vertebral col-  general examination is to be performed, a systematic approach is
           umn with lumbar and thoracic   vertebrae predominantly   required. Possible abnormalities include the presence of abdominal
           affected [28].                                    masses (from enlargement of one or more of the intraabdominal
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