Page 480 - Feline diagnostic imaging
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492  28  Reproduction
            28.4   Radiography of the Male Cat                The  epididymis  runs  dorsally  as  a  hypoechoic  structure
                                                              along  the  testis,  terminating  at  the  coarsely  hypoechoic
            The prostate gland of the tom is not visible radiographi­  head and tail at either end. The vaginal tunics and tunica
            cally. The feline prostate is approximately 1 cm in length   albuginea  present  as  a  combined  hyperechoic  structure
            and lies dorsally and laterally around the pelvic urethra [9].   seen  peripherally.  Anechoic  tortuous  vessels  comprising
            The location is similar to that of the male dog, 2–3 cm from   the pampiniform plexus are located dorsal to the head of
            the neck of the bladder. Problems affecting the prostate are   the  epididymis.  The  testicular  parenchyma  should  be
            infrequent in cats but have been reported.        assessed for any irregularities including hypo‐ or hypere­
                                                              choic areas, distinct masses, or areas of fibrosis. Each testi­
                                                              cle should also be measured by obtaining the length, width,
            28.5   Ultrasonography of the Male Cat            and height of each (Figure 28.10b). These measurements
                                                              can be used to assess changes over time and assist in evalu­
            The bilobed prostate gland is not often seen in tom cats   ating the testicles for signs of degeneration.
            because of its small diffuse nature and caudal location. It
            may  present  as  a  slight  hypoechoic  bulge  caudal  to  the
            bladder trigone (Figure 28.9).                    28.6   Diseases of the Female
              The scrotal hair does not need to be clipped for imaging   Reproductive System
            of the testicles. A high‐frequency transducer is best because
            the testicles are small. On longitudinal scans, the testicle is   28.6.1  Dystocia
            smooth, homogeneous, and elliptical (Figure 28.10). The
            rete (mediastinum) testis presents as a hyperechoic linear   The main things to check on radiographs are the size of the
            structure running longitudinally through the center of the   fetus, the conformation of the mother, and any evidence of
            testicle.  Decreased  echogenicity  may  be  seen  deep  to   fetal death (Figure 28.11). In some cases, the fetus is notice­
            the rete testis in both longitudinal and transverse planes.   ably too large to pass through the pelvis. There may be evi­


               (a)                            (b)                                 (c)














            Figure 28.9  Ultrasonography of the tom cat prostate. B, bladder. (a) The length of the prostate gland in this mature tom cat is
            0.67 cm. (b) The width measured 0.33 cm. (c) The prostate gland was located 1.24 cm caudal to the neck of the urinary bladder.

             (a)                               (b)                           (c)















            Figure 28.10  Ultrasonography of the tom cat testicle. (a) In longitudinal images, the feline testicle is smooth, homogeneous, and
            elliptical. The hyperechoic linear structure in the center is the rete testis (arrow). (b) In this image, the width of the testicle
            perpendicular to the hyperechoic rete testis (arrow) measures 1.46 cm. (c) In transverse images, the rete testis is more circular.
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