3 year-old Castrated Male Mixed Breed Canine

History:

A 3 year old castrated male mixed breed dog was examined by a primary care veterinarian for a brief pelvic limb lameness that resolved. Following resolution of the lameness, the patient developed a hunched pose and had nonspecific cranial lumbar and abdominal pain, and was inappetent.  The patient was referred to a veterinary teaching hospital. A small increase in globulins and total protein was present. The CBC was pending. Three abdominal radiographs were acquired.

  

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 radiographs?

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