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Xray Diagnosis.

Published on: March 24, 2022 • By: Echo · In Forum: Dogs
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Echo
Participant
March 24, 2022 at 01:12pm
Hi everyone, I'm looking for some help/insight into an xray of my dog. I was told he has a tumour in his stomach/spleen/liver which has spread to his lungs. These are the xrays the vet provided to confirm this, however, I'm obviously not a professional although I can guess what organs I'm looking at I can't see anything distinctively untoward, and would love a second opinion from anyone who's able to tell me if the vets diagnosis is accurate. xray2   xray1 I understand it's difficult to diagnose anything on xrays alone, but I would really appreciate it if someone could confirm there's evidence here to suggest my vet is right. Thanks in advance.
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Echo
Participant
March 24, 2022 at 01:14pm
I should also say, my dog has a history of pancreatitis, so if there's any swelling it's potentially due to that.
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Liz Buchanan BVSc MRCVS
Keymaster
March 24, 2022 at 04:01pm
Hello!  I'm afraid that this dog isn't my patient and these are not my radiographs, so without your vets' blessing I would not give a second opinion on them.  Usually to get a second opinion, your vet would present the radiographs and history to a radiography or other medical expert who is formally in a position to know more about this area than they are themselves (eg they have further qualifications in the subject);  this is called a referral and thanks to the internet, referrals can be done very quickly nowadays.  They might then send a case report back. Cancer is notoriously difficult to diagnose from chest radiographs alone, even when both views (a lateral - from the side - and a DV, front to back) are presented and even when the medical context is available.  I have seen infection that looks just like cancer on radiographs and even if it were ethically permissable, I would not attempt to make such a judgement. It would be better to ask your vet to talk you through their opinion. Best of luck with your dog.
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Liz Buchanan BVSc MRCVS
Keymaster
March 24, 2022 at 04:03pm
Ps I have not looked at the radiographs
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Liz Buchanan BVSc MRCVS
Keymaster
March 24, 2022 at 04:48pm
Thinking about this, ultrasound is often a very good way in which to examine the spleen, liver and pancreas.  Again though, it would be difficult to diagnose cancer from the outside;  I think that questions such as: what do you know so far?  How sure are you?  What would you like to do?  What tests would you do in order to understand more?  - are good ones for your vet in order to help you to understand the situation better.
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