6.5 year old Male Castrated English Toy Spaniel


The patient had a history of vomiting twice overnight, was lethargic and the owner noted pain when picking the patient up. The appetite and stool were normal prior to presentation. A left femoral head and neck excision had been performed previously. The physical examination was normal. There was no evidence of abdominal pain.
Three abdominal images were initially acquired and, based upon interpretation of these images, 3 subsequent images were acquired approximately 10 hours following the initial examination.

Questions for Discussion After Reviewing Images:

What are the prioritized differential diagnoses based on the survey radiographs?
What are the recommendations regarding either further imaging/diagnostics or therapy, based on the survey radiographs?

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