Radiology Quiz September 2026

In collaboration with Dr. Adrien-Maxence Hespel from the University of Tennessee, we present the following radiology quiz. The goal of this case is to practice identifying radiographic findings and formulating a radiographic diagnosis based on a brief patient description. The final section provides additional information about the treatment.

History

11 year old female Australian Shepherd. 4 days of anorexia. Vomited yesterdays. Diarrhea two days.

X-ray images

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Description of the RX images

Abdomen: The serosal detail is adequate for the age and body condition score of the patient. The liver is within normal limits. The spleen is within normal limits. Both kidneys are normal. There is no evidence of adrenal changes. The urinary bladder is within normal limits. There is moderate uteromegaly which is fluid filled throughout. The GI tract is within normal limits. No evidence of free fluid, free gas, or mass effect. Mild gynecomastia. Overall the remainder of the abdomen is unremarkable. Incidental ventral spondylosis at the level of the the thoracic, TL, and lumbosacral junction.

Uteromegaly. Considered pyometra, vs mucometra, hemometra, hydrometra. Less likely neoplasia.

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