Basal cell carcinoma in two Hermann's tortoises (Testudo hermanni).

Neoplastic disorders are frequently encountered in the practice of reptile medicine. Herein we report the clinical behavior, antemortem diagnosis, and histopathologic characteristics of a recurrent intraoral keratinizing basal cell carcinoma (BCC) and a metastatic BCC of the carapace in 2 Hermann's tortoises (Testudo hermanni). Although squamous cell carcinomas (SCCs) in tortoises show similar predilection sites and gross pathologic features, the BCCs described in our report were characterized by a remarkably fast and highly infiltrative growth in comparison to SCCs. Accordingly, early diagnosis including reliable discrimination from SCC is essential toward the management of this neoplastic entity in tortoises.

Epinephrine-enhanced computed tomographic arthrography of the canine shoulder.

The aim of this study was to investigate the effect of epinephrine-enhanced computed tomographic arthrography (CTA) on the image sharpness of the lateral and medial glenohumeral ligaments (LGHL and MGHL, respectively), biceps tendon (BT) and joint cartilage (JC) in the canine shoulder. The shoulders of eight normal dogs were examined using a 4-slice helical CT scanner. The right shoulders were injected with Iohexol and the left shoulders with a mixture of Iohexol and epinephrine. CTA images were obtained after 1, 3, 5, 9, 13, 20 and 30 min and the image sharpness of the intra-articular structures in both shoulders was graded for visibility. The attenuation values were measured to examine the persistence of contrast appearance. Admixture of epinephrine and Iohexol significantly improved the image sharpness of the LGHL and the BT, especially on delayed CTA images. The use of epinephrine did not negatively affect post-CTA recovery.

Intervertebral disk disease in 3 striped skunks (Mephitis mephitis).

OBJECTIVE: To describe diagnostic findings, surgical technique, and outcome in 3 striped skunks (Mephitis mephitis) with a history of paraparesis. STUDY DESIGN: Case series. ANIMALS: Skunks (n = 3) with paraparesis. METHODS: Neurologic examination revealed upper motor neuron disease (T2-L2) in 2 skunks and lower motor neuron disease (L3-S3) in 1 skunk. Diagnostic imaging included radiography, myelography, CT, and MRI and confirmed intervertebral disk herniation (IVDH) in each skunk. Because initial treatment with pain medication and cage rest did not result in lasting improvement, spinal surgery was performed. RESULTS: Hemilaminectomy (2 skunks) and dorsal laminectomy (1 skunk) was performed with removal of extruded disk material. The skunks improved after surgery but all had minor residual neurologic deficits when examined at various times postoperatively. CONCLUSION: Thoracolumbar intervertebral disk herniation occurs in skunks, and must be included in the differential diagnosis of paraparesis.

Computed tomography of canine elbow joints affected by primary and concomitant flexor enthesopathy.

Flexor enthesopathy is an important differential diagnosis for elbow lameness in dogs. The disorder can be a primary cause of elbow lameness or concomitant with other elbow pathology. Since treatment differs for primary and concomitant forms of flexor enthesopathy, a noninvasive method for distinguishing between them is needed. In the current prospective study, computed tomographic (CT) examination was performed before and after IV injection of contrast in 17 dogs with primary flexor enthesopathy, 24 dogs with concomitant flexor enthesopathy, 13 dogs with elbow dysplasia, and seven normal dogs. Dogs were assigned to groups based on results of clinical examination and at least three other imaging modalities. Computed tomographic lesions consistent with flexor enthesopathy were found in all clinically affected joints with primary flexor enthesopathy and in 29 of the 30 clinically affected joints with concomitant flexor enthesopathy. Those lesions were not found in sound elbows or joints affected by elbow dysplasia. Flexor lesions detected in dogs with primary flexor enthesopathy were not significantly different from those detected in dogs with the concomitant form. Findings indicated that CT can be applied to detect flexor enthesopathy, but a distinction between the primary and concomitant forms was not always possible. Authors recommend the use of multiple diagnostic techniques for treatment planning in affected dogs.

Computed tomography findings in 32 joints affected with severe elbow incongruity and fragmented medial coronoid process.

OBJECTIVE: To describe the computed tomography (CT) findings in dogs with severe elbow incongruity combined with a fragmented medial coronoid process (FCP) and compare these with normal joints and congruent joints affected by FCP. STUDY DESIGN: Clinical study. ANIMALS: Client-owned dogs with elbow lameness (n = 40) and purpose bred dogs (n = 5; controls). METHODS: The CT features of 32 severely incongruent joints with concomitant FCP were compared with those of 32 congruent elbow joints affected with FCP and 10 normal joints. RESULTS: In severely incongruent elbow joints, a radioulnar step and widened joint spaces were visible on each CT plane. Additional features typically seen in severely incongruent elbows were a cyst at the radioulnar transition and fragmentation of the axial border of the medial coronoid incisure. None of these features appeared in normal or in congruent FCP joints. CONCLUSION: On CT, several features associated with severe elbow incongruity and concomitant FCP were detected, which were not found in normal joints or congruent joints affected by FCP.

Micro-computed tomography of the head and dentition in cadavers of clinically normal rabbits.

OBJECTIVE: To describe the anatomic features of dentition and surrounding structures of the head in rabbits assessed by use of a newly developed micro-computed tomography (CT) device. SAMPLE: Cadavers of 7 clinically normal adult Dendermonde White domestic rabbits raised for human consumption. PROCEDURES: The rabbits were slaughtered in a slaughterhouse, flayed, and decapitated; the rabbit heads were frozen for micro-CT examination. Transverse images were obtained from the nares to the occipital condyles with a custom-designed micro-CT scanner built at the Ghent University Centre for X-ray Tomography. Scan settings were chosen to highlight bony structures on the basis of the designers' experience. The micro-CT images were reviewed, and all recognizable anatomic features were labeled. Afterward, micro-CT images were used to create 3-D reconstructions by use of a custom-developed reconstruction package and 3-D rendering with dedicated software. RESULTS: Microstructures of the bones and teeth were clearly visible on micro-CT images. Conversely, soft tissue contrast was relatively poor on these images. CONCLUSIONS AND CLINICAL RELEVANCE: Micro-CT appeared to be a promising technique for appropriate diagnosis of dental disease in rabbits. Further research is needed to determine the clinical applications of micro-CT imaging.

Low-field magnetic resonance imaging and cross-sectional anatomy of the rabbit head.

The purpose of this study was to provide a detailed anatomical description of the soft-tissue structures of the head of normal rabbits using low-field magnetic resonance imaging (MRI). The cadaver heads of six domestic rabbits and one dwarf rabbit were used to perform transverse, sagittal and dorsal 2.5-mm-thick T1-weighted images. Afterwards, three heads were frozen and sectioned at 4-mm-thick intervals using an electric band saw. The anatomical structures identified on these sections were matched with those present on the corresponding MRI images. The images provided detailed information regarding the soft tissues of the heads. Most of the surrounding bony structures and the dentition could be identified. The results of this study could be used as a guide for evaluation of MRI images of the rabbit head in clinical cases of soft tissue deformations or lesions secondary to dental disorders.

Magnetic resonance imaging of the canine elbow: an anatomic study.

OBJECTIVES: To describe the normal anatomy of the soft tissues stabilizing the canine elbow observed by magnetic resonance (MR) imaging. STUDY DESIGN: Descriptive study. ANIMALS: Cadavers of large breed dogs (n=3). METHODS: Immediately after euthanasia, T1- and T2-weighted MR images of both elbows of each dog were made in sagittal, transverse, and dorsal planes. Elbows were removed from the cadavers, embedded in a water bath, and frozen. Slab sections of the frozen elbows were obtained and matched with the MR images. RESULTS: On anatomic sections, all musculoskeletal structures could be identified. T1-weighted MR images provided the best anatomic detail, whereas T2-weighted MR images were best for synovial cavities. All musculoskeletal structures identified on the anatomic sections were visible on the MR images. The flexor tendons were best seen on the images in the sagittal and dorsal planes, whereas the flexor carpi ulnaris tendon was best seen on the transverse images. The extensor tendons and the lateral collateral ligament were visible on the images in transverse and dorsal planes. The biceps brachii and triceps muscles and tendons were best seen on the sagittal MR images. CONCLUSIONS: MR is a useful imaging technique to observe the soft tissues of the canine elbow. CLINICAL RELEVANCE: This anatomic atlas could be used as a guide for interpretation of MR images of elbow disorders such as tendon, ligament, or muscle injuries.

Computed tomography and cross-sectional anatomy of the head in healthy rabbits.

OBJECTIVE: To obtain a detailed anatomic description of the rabbit head by means of computed tomography (CT). ANIMALS: 6 clinically normal Dendermonde White rabbits weighing 3 kg and raised for human consumption and 1 Netherland dwarf rabbit. PROCEDURES: The commercially raised rabbits were slaughtered in a slaughterhouse, flayed, and decapitated. The dwarf rabbit was euthanatized. Two hours later, each rabbit head was positioned with the ventral side on the CT table to obtain transverse and sagittal, 1-mm-thick slices. Dorsal images were obtained by placing each head perpendicular to the table. Immediately after the CT examination, 3 heads were frozen in an ice cube at -14 degrees C until solid and then sectioned at 4-mm-thick intervals by use of an electric band saw. Slab sections were immediately cleaned, photographed, and compared with corresponding CT images. Anatomic sections were examined, and identified anatomic structures were matched with structures on corresponding CT images. RESULTS: The bone-window CT images yielded good anatomic detail of the dentition and the bony structures of rabbit skulls. The soft tissue structures that could be determined were not better identifiable on the soft tissue-window CT images than on the bone-window images. CONCLUSIONS AND CLINICAL RELEVANCE: CT images of the heads of healthy rabbits yielded detailed information on the skull and some surrounding soft tissue structures. Results of this study could be used as a guide for evaluation of CT images of rabbits with various cranial and dental disorders.

Vertebral heart size ranges specific for whippets.

To assess the influence of breed, breeding lines, and training on heart size, the vertebral heart size (VHS) was evaluated on left-to-right lateral, right-to-left lateral, dorsoventral, and ventrodorsal thoracic radiographs from 44 whippets free from cardiac and pulmonary disease. In lateral views, the VHS was 11.0 +/- 0.5 vertebrae (mean +/- SD) on right-to-left lateral and 11.3 +/- 0.5 vertebrae on left-to-right lateral radiographs, being larger than the 9.7 +/- 0.5 vertebrae proposed by Buchanan (P<0.0001). The VHS on left-to-right lateral views was larger than on right-to-left lateral views (P<0.0001). The VHS was 10.5 +/- 0.6 vertebrae on dorsoventral radiographs and 11.1 +/- 0.6 vertebrae on ventrodorsal radiographs. Both values were larger than the 10.2 +/- 1.5 vertebrae (dorsoventral) (P<0.0082) or 10.2 +/- 0.8 vertebrae (ventrodorsal) (P<0.0001) proposed by Buchanan. In addition, the VHS on ventrodorsal views was larger than on dorsoventral views (P<0.0001). Dogs out of racing pedigree lines had a significantly larger VHS than those out of show pedigree lines, and trained dogs had a significantly larger VHS than nontrained dogs. Because most trained dogs came out of racing pedigree lines, and all nontrained dogs came out of show pedigree lines, however, it is difficult to determine whether the higher VHS for trained dogs is due to genetic influences or training, or both. In conclusion, it is important to take into account the breed and the radiographic view when evaluating heart size in thoracic radiographs of whippets to avoid overinterpretation of cardiac enlargement in these dogs.