Case studies
from our archive

Right head tilt, discharge from the right ear.

3,506 slices (1 and 2 mm), pre- and post-contrast series reconstructed with medium- and high-frequency algorithms. Good study quality.

• –Nose: bilateral grade 4 caudal aberrant nasal turbinates; undeveloped frontal sinuses, probably a breed-related conformation.
• –Ears: retention of a small amount of fluid in the right horizontal ear canal with mild thickening of its wall; multiple mineralised foci in the walls of both external ear canals (incidental dystrophic mineralisation or chronic otitis externa); reduced volume and thickened walls of both tympanic bullae, which contain material of fluid/soft tissue attenuation (common in brachycephalic dogs).
• –Heart: irregular soft tissue attenuating mass at the heart base, heterogeneously enhancing, encircling the aorta, in contact with both the left and right atria and compressing the left and right pulmonary arteries (49 × 34.8 × 42.8 mm). Focal pericardial effusion on the left.
• –Prostate: symmetrical, heterogeneously enhancing, with multiple small non-enhancing foci in the parenchyma.
• –Pelvis: focal soft tissue thickening in the left ventral perianal region with peripheral enhancement.
• –Skeleton: bilateral tarsal osteoproliferation; incomplete fusion of the ossification centres of the dorsal arch of the atlas; vertebral malformations typical of the breed.