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Royal Veterinary College 2009

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Canine Radiographs

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Canine Radiographs is licensed by The Royal Veterinary College under a
Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales License

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Canine Radiographs

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Frontal sinuses

Skull
Tympanic Bullae

Larynx

Nasal chambers

Mandible

The Head

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The Skull
Skull: Ventrodorsal (V-D) view
Young Skull: Lateral view
Skull: V-D view, Calvaria
Skull: Lateral view, Calvaria

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Skull:
V-D view
For this ventrodorsal view the
endotracheal tube has been
removed to prevent
superimposition with anatomical
structures. Try to identify the
rami of the mandible, the
zygomatic arches, the external
auditory canals and the atlas.

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Mandibular
symphysis

Mental
foramen

Mandible
Zygomatic
arch
Rostral alar
foramen
Angular
process
Condyloi
d
process

Coronoid process
Foramen
ovale
Foramen lacerum

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Tympanic bulla
Paracondylar
process
Occipital condyle

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Upper
premolar
4
Vomer bone

Medial border
of mandible
Nasal conchae

Frontal bone
Zygomatic
arch
Coronoid process of
mandible
Angular process
of mandible
Zygomatic process of
temporal bone
Temporomandibul
ar joint
Tympanic
bulla
Jugular foramen
Occipital condyle
Atlantoccipital
joint
2nd cervical
vertebrae (axis)

Medial border of
orbit
Ethmoidal
conchae
Pterygoid
bone
Condyloid
process of
mandible
Air within
external acoustic
meatus
Parcondylar
process of
occipital bone
Pinna
Alantoaxial joint
Wing of atlas

No Labels

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Young Skull:
Lateral view

This radiograph shows a typical appearance of the


canine skull in a lateral radiograph. The dog was
anaesthetised for radiography, hence the
endotracheal tube. Dorsal to the endotracheal tube
is a band of soft tissue separating the oropharynx
from the nasopharynx; this is the soft palate.

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Pot 2
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Hard palate Olfactory


bulb

Frontal sinus

Pituitary
gland
(hypophysis)

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Corpus
callosum

Interthalami
c adhesion
Pons
Cerebellu
m

Nasal septum
(cartilage)

Fourth
ventricle
Medulla
oblongata
Geniogloss
al m.

Opening of
phargynge
al tube

Geniohyoid
m.

Ventral
straight
muscle of
the head
Longus
colli m.

Body of
tongue
Soft palate

Basihyoid
bone

Sternohyoid
m.

Epiglotti
s

Oesophagu
s

A=Atlas
B=Axis
Orbit

Supraorbital
process

Zygomatic
arch

1Royal
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College 2009
= Nasal
bone

Paracondylar
process

6
7
8

Infraorbital
foramen

2= Incisive bone
3=Maxilla
4=Lacrimal bone
5= Frontal bone
6=Parietal bone
7=Occipital bone
8= Temporal bone
9=Basisphenoid
bone
10= Mandible

1
3
2
10

Mental
foramen

Pterygopalanti
ne fossa
Coronoid
process

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Condyloid
process

Tympanic
bullaacoustic
External
meatus
Angular
process Retroarticular
process

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Ethmoidal
conchae

Frontal
sinus

Frontal
bone

Nasal
bone

Coronoid
process
of
mandible

Calveri
a

Sagitt
al
crest

Hard
palate

Root of
canine
tooth
Incisive
bone

Oral
cavity

Endotrachea
l tube

Mandibl
Zygomatic
e
arch
Cranial border of orbit

Condyloid
process
Soft
Palate

Hyoid
Wings of
apparatus Tympanic atlas
bulla

No Labels

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Skull:
V-D view, Calvaria
This ventrodorsal radiograph of
the same dog, as in the
following lateral radiograph,
shows a distinct opaque,
slightly wiggly line on the midline superimposed on the
calvaria, which represents the
thick mid-line crest that was
noted on the lateral view. This
ventrodorsal also provides a
clear view of the mandibular
condyles, the zygomatic
arches and the external ear
canals.

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Mandibular
symphysis

Mental
foramen

Mandible

Zygomatic arch
Rostral alar
foramen
Angular
process
Condyloid
process

Coronoid process
Foramen
ovale
Foramen lacerum

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Tympanic bulla
Paracondylar
process
Occipital condyle

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Lower
premolar 4

Mandible
Coronoid process
of mandible
Condyloid
process of
mandible
Angular
process of
mandible
Rostral &
caudal alar
foramen
Suture line

Upper
molar 1
Nasal
conchae
Medial
border of
orbit
Pterygoid
bone
Frontal bone
Zygomatic
arch
Temporomandibul
ar joint
Tympanic
bulla
Air within
external acoustic
meatus
Alar
notch
Wing of atlas

Alantoaxial joint

Endotracheal

2nd cervical
vertebrae
(axis)

No Labels

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In this dog the frontal sinuses are relatively large and the crest on the
Skull:
dorsal aspect of the skull is relatively tall giving the impression that the
calvaria (bones around the brain) are extremely thick in this dog. In reality
Lateral view, calvaria
it is only the crest that is thick, the bones to either side will be relatively
much thinner. Compared to humans in which the bones around the brain
are very thin and there is very minimal soft tissue coverage, the skull and
brain of the dog are well protected by large chewing muscles and is
therefore relatively infrequently injured compared to humans. This wellpositioned lateral view shows the temporomandibular joints and the
tympanic bullae which are almost perfectly superimposed. It also gives a
good view of the endotracheal tube in the oral cavity and extending down
through the larynx towards the trachea, the soft palate and the
nasopharynx.

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Pot

A=Atlas
B=Axis

Zygomatic
arch
Supraorbital
process

Orbit

1Royal
Veterinary
College 2009
= Nasal
bone

Paracondylar
process

6
7
8

Infraorbital
foramen

2= Incisive bone
3=Mandible
4=Lacrimal bone
5= Frontal bone
6= Frontal bone
7=Occipital bone
8=Temporal bone
9=Basisphenoid
bone
10= Mandible

1
3
2
10

Mental
foramen

Pterygopalantin
e fossa
Coronoid
process

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Condyloid
process

Tympanic
bulla
Jugular
Angular
foramen
process Retroarticular
process

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Labels

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Frontal bone

Frontal
sinus

Dorsal
tubercle of
atlas

Temporozygoma
tic suture
Lateral
vertebral
formen

Zygomatic
arch

Axis
Coronoid
process

Atlas
Tympanic bulla
Wing of atlas

Hard
palate

Endotracheal tube

Tooth root

Soft
palate

Condyloid
process

Hyoid
apparatu
s
Retroarticula
Angular
process
r process

External
acoustic
meatus

No Labels

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The Frontal Sinuses


Frontal sinuses: R-Cd view

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Frontal sinuses:
R-Cd view

This radiograph is made by placing the dog in dorsal


recumbency and angling the head so that the hard palate is
perpendicular. The x-ray beam is centred on the dogs
external nares so that the diverging beam passes through
the frontal sinuses and projects them dorsal to the
remainder of the skull. This radiograph is sometimes
difficult to get straight, but is a very useful way of examining
the frontal sinuses which are frequently affected in dogs
with nasal disease or trauma. Notice that the internal
septation of the frontal sinuses is not perfectly symmetrical;
this is a typical normal variant.

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Right frontal
sinus

Left frontal
sinus

Supraorbital process
(zygomatic process of
frontal bone)

No Labels

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The Tympanic Bullae


Tympanic Bullae: R-Cd, open-mouth view

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Tympanic Bullae:
R-Cd, open-mouth view

Full screen

This is another radiograph made with the


dog in dorsal recumbency. This time the
mouth is held widely open and the x-ray
beam directed in such a way that it bisects
the angle formed by the maxilla and
mandible. The rounded thin-walled lucent
structures each side of mid-line are the
tympanic bullae. In this dog the thin bulla
wall gives the appearance of a soap bubble;
it has a similar appearance in cats. In many
small breeds of dog the tympanic bullae are
relatively smaller and flatter in shape. The
commonest abnormality affecting the
tympanic bullae is otitis media; this is visible
radiographically as an increased opacity in
the tympanic cavity as a result of exudate
and/or granulation tissue. Frequently the
bulla wall is thickened as a result of chronic
inflammation.

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Nasal Cavity
Upper
cheek tooth

Nasopharynx

Jugular
foramen
Petrous part
of temporal
bone

Tympanic bullae
Atlantooccipital joint

Atlantoaxial
joint
2nd cervical
vertebrae
(axis)

Mandible

No Labels

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The Larynx
Larynx: Lateral view
Larynx: Lateral view, brachycephalic

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Larynx:
Lateral view

This radiograph of the larynx made in an


anaesthetised dog after the endotracheal tube has
been removed shows the oropharynx, nasopharynx,
larynx and cranial part of the trachea, all outlined by
gas within the predominantly soft tissue
surroundings. The delicate hyoid bones and the
laryngeal cartilages and the tracheal rings (which
are partially calcified) are also visible. A radiograph
such as this requires a much lower exposure than a
radiograph of the cervical spine.

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Stylohyoid bone
Masseter
m.

Ceratohyoideus m

Thyrohoid
bone

Thyroid
cartilage
Body of tongue

Thyrohyoideus m
Trachea
Geniohyoideus m.

Sternothyroideus
m.
Styloglossus
Hyoglossus m.
m.
Cricothyroideus
m.
Mylohyoideus
m.
Sternohyoideus
m.

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Labels

Stylohoid
bone

Soft
palate

Epihyoi
d bone
Epiglotti
s

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Tympanic
bulla

Ceratohyo
id bone
Basihyoid
bone

Wing of
Atlasatlas

Cervical
vertebrae
2

Arytenoid
cartilage
Thyrohyoid
bone

Thyroid
cartilage

Cervical
Cervical
vertebrae 3 vertebrae
4

Cricoid Air in the


cartilag oesophag
e
us

Trache
a

Tracheal
rings

No Labels

Larynx:
Lateral view,
brachycephalic

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Radiographs of brachycephalic dogs such as the


Bulldog, Pug or cavalier King Charles spaniel show
why so many of these dogs are affected by
excessive respiratory noise or snoring or dysnoea.
In this instance, the trachea is narrow for the size of
the dog and the airway through the larynx and
nasopharynx is virtually obliterated by collapse of
the thick surrounding soft tissues. Brachycephalic
obstructive airway syndrome (BOAS) is the name
given to the problems associated with this extreme
conformation.

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Pot 2
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NasopharynxFrontal sinus Pon


s

Cerebellum

Hard palate

Nasal
septum;
cartilage
Body of
tongue

Mandibl
e

Genioglossus Geniohyoid m
m

Soft palate

Trachea
Thyroid cartilage
Hyoid
apparatus
Epiglottis

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1 = Nasal bone
2= Incisive bone
3=Maxilla
4=Lacrimal bone
5= Frontal bone
6= Frontal bone
7=Occipital bone
8=Temporal bone
9= Mandible

Supraorbital
process

Zygomatic
arch

Orbit

Coronoid
process
External sagittal crest

Infraorbital
foramen

1
2

4
3
8
7

Paracondyla
r process

Mental
foramen
Pterygopalantin
e fossa

Tympanic
bulla
External
Temporozygomati
c suture
Condyloid
process

acoustic
Retroarticular meatus
Angular

process

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Labels

Atlas

Soft
Tissue
Hyoid
apparatus

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Axis

Trachea
Spine of
the
scapula

Humeru
Shoulder s
joint

No Labels

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The Mandible
Mandible: IO view

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Mandible:
IO view
By placing the dog in dorsal recumbency
and putting the radiographic film in the oral
cavity for a ventrodorsal projection, a view of
the rostral part of the mandible may be
obtained. Just as for the intraoral
dorsoventral, which is very useful for
examining the nasal cavity, this radiograph
provides a nice view of the mandible without
superimposition by other structures. Note
the variation in the size and shape of the
incisors which is typical and unimportant.
Similarly notice the rough appearance of the
bone on each side of the mandibular
symphesis; this is also normal.

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Lower incisor
L2ower incisor
3

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Lower incisor 1
Lower canine

Mandibular symphysis
Lower
premolar 1
Lower
premolar 2
Lower premolar
3
Lower
premolar 4
Lower molar
1

No Labels

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The Nasal chambers


Nasal chambers: IO view, young adult
Nasal chambers: IO view
Nasal chambers: IO view, dolicocephalic
Nasal chambers: IO view, brachycephalic
Nasal chambers: Lateral view
Dacryorhinocystogram: Lateral view

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Nasal chambers:
IO view, young adult

An excellent examination of the nasal cavity in a dog


or cat can be done by placing the film in the oral
cavity and making a dorsoventral radiograph so that
only the nasal cavity appears in the image. This view
enables detailed comparison of left and right sided
structures. Notice that the nasal cavity is filled with
numerous tiny linear structures oriented roughly
parallel to the mid-line in the rostral part of the nasal
cavity, and forming a more complicated pattern in the
middle of the nasal cavity. These small lines
represent the shadows cast by the nasal turbinates
and their mucosae. This is a young adult dog; it has
its permanent dentition (no deciduous teeth are
visible) but the adult teeth appear very hollow
because the pulp cavity is wide and the dentine is
thin. As a dog ages the pulp cavity steadily reduces
in size so the teeth become progressively more solid
in appearance.

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Upper incisors 1-3

Canine

Upper premolar
1-4

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Palatine fissure

Interincisive
suture

Upper Molar 1 & 2

Zygomatic arch
Pterygoid bone
Rostral alar
foramen
Foramen ovale

Choanal
region
Presphenoid bone
Basisphenoid bone
Foramen lacerum

Tympanic bulla
Paracondylar process
Occipital condyle

Jugular
foramen
Hypoglossal canal

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Upper incisors 1-3

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Nostril

Interincisive
suture
Palatine fissure
Canine
tooth
Dental
cavity
Upper premolar
1-4

Maxillary
recess

Superimposed dorsal &


ventral nasal conchae

Upper Molar
1
Ethmoidal
conchae

No Labels

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Nasal chambers:
IO view
A similar radiograph to that described
previously comes from a dog of similar skull
conformation, that is mesaticephalic. This
dog is slightly older than the previous one as
evidenced by the relatively smaller pulp
cavities best seen in the canine teeth.

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Upper incisors 1-3

Canine

Upper premolar
1-4

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Palatine fissure

Interincisive
suture

Upper Molar 1 & 2

Zygomatic arch
Pterygoid bone
Rostral alar
foramen
Foramen ovale

Choanal
region
Presphenoid bone
Basisphenoid bone
Foramen lacerum

Tympanic bulla
Paracondylar process
Occipital condyle

Jugular
foramen
Hypoglossal canal

Pot Comparison

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Nostril
Interincisive
suture
Canine
tooth
Dental

Palatine fissure

cavity
Superimposed dorsal
& ventral nasal
conchae

Upper premolar 4
Maxillary recess

Ethmoidal
conchae

No Labels

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Nasal chambers:
IO view, dolicocephalic
In a long nosed dog the nasal cavity is relatively
elongated and a wide diastema is frequently present
between the first and third premolars.

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Upper incisors 1-3

Canine

Upper premolar
1-4

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Palatine fissure

Interincisive
suture

Upper Molar 1 & 2

Zygomatic arch
Pterygoid bone
Rostral alar
foramen
Foramen ovale

Choanal
region
Presphenoid bone
Basisphenoid bone
Foramen lacerum

Tympanic bulla
Paracondylar process
Occipital condyle

Jugular
foramen
Hypoglossal canal

Pot Comparison

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Nostril
Upper incisors
1-3
Interincisive
suture
Canine
tooth
Upper
premolar 1

Palatine fissure

Superimposed dorsal &


ventral nasal conchae

Large gap
between 1st
& 3rd
premolar

Upper premolar
4
Upper Molar
1
Upper Molar 2

Ethmoidal
conchae

No Labels

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Nasal chambers:
IO view,
brachycephalic

This radiograph of the nasal cavity of a


Bulldog clearly shows foreshortening
of the nasal cavity compared to that
seen in mesaticephalic or
dolicocephalic dogs. With this
foreshortening comes a relative
increase in opacity of the nasal
structures because the skull is
relatively thicker at this point and
because of the abundant, often folded,
skin over the face. Orientation of the
teeth in the maxillary arcade is often
abnormal in such dogs, with the third
premolar aligned roughly transverse to
the arcade in this example.

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Upper incisors 1-3

Canine

Upper premolar
1-4

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Palatine fissure

Interincisive
suture

Upper Molar 1 & 2

Zygomatic arch
Pterygoid bone
Rostral alar
foramen
Foramen ovale

Choanal
region
Presphenoid bone
Basisphenoid bone
Foramen lacerum

Tympanic bulla
Paracondylar process
Occipital condyle

Jugular
foramen
Hypoglossal canal

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Upper incisors
1-3

Nostril
Interincisive
suture

Canine
tooth
Palatine
fissure
Upper premolar
1-4

Superimposed
dorsal & ventral
nasal conchae

Upper Molar
1
Upper Molar 2

Ethmoidal
conchae

No Labels

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Nasal chambers:
Lateral view

The nasal cavity of the dog requires a lower


radiographic exposure than the thicker parts of the
skull because it contains air and relatively delicate
bones, hence a separate lateral radiograph is
sometimes made specifically of the nasal region.
One problem with this radiograph is that it
superimposes the left and right sides. Many dogs
with nasal disease have a symmetrical or even
unilateral lesions which are difficult to recognise on
the lateral view in which they are superimposed by
the normal (unaffected) side. The same comment
applies to the frontal sinuses.

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Incisive
bone

Ethmoid Cranial
border of
al
orbit
conchae

Hard
palate
Root of
canine
teeth

Frontal
bone

Frontal
sinus

Nasal
bone

U. Incisor 1

U. Premolar
1
U. Canine
U. Incisor 3
U. Incisor
2

U. Premolar 3

U. Premolar
2

Oral
Upper
cavity
Molar 1 Upper
Molar
U. Premolar
2
4

Coronoid
process of
mandible
Zygomatic
arch

No Labels

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Dacryorhinocystogram:
Lateral view

This lateral radiograph of the


nasolacrimal duct is made by infusion of
a small volume of contrast medium
through a fine catheter inserted into a
lacrimal punctum. In a normal dog the
contrast flows down the nasolacrimal
duct and drains into the nasal cavity as
seen here.

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Catheter in
ventral lacrimal
punctum

Duct discharging into floor of


vestibule

Nasolacrim
al duct

No Labels

The Thoracic Limb

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The Shoulder
The Elbow
The Radius and Ulna
The Carpus
The Manus

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The Shoulder
Shoulder: lateral view
Shoulder: Cr-Cd view
Large Shoulder: lateral view
Immature Shoulder: lateral view
Immature shoulder arthrogram: lateral view

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Shoulder:
lateral view
This radiograph is usually made with
the animal in lateral recumbency
with the shoulder of interest on the
down side. The limb is protracted to
move the humerus away from the
sternum for clearer visualisation.
The tip of an endotracheal tube is
superimposed on the scapula in this
dog. If the tube is inadvertently
superimposed over the shoulder
joint, it can interfere with
visualisation of the bones.

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Canine Forelimb;
Left, lateral view

Rhomboid m
Dorsal border of scapula
Infraspinatus m
Teres major m

Supraspinatus m
Latissimus dorsi m
Stump of trapezius m

Deltoid m
Triceps brachii m long
head
Cleidobrachialis m

Triceps brachii m lateral


head

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Brachioradialis m
Extensor carpi radialis m

Ulnaris lateralis m

Olecranon
Common digital extensor m.
Lateral digital extensor m
Flexor carpi ulnaris

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ET tube within the


trachea

Supraspinous
fossa
Scapular spine
Infraspinous fossa

Supraglenoid
tubercle
Greater tubercle

Intertubercular
groove

Acromion process
Infraglenoid
tubercle
Shoulder joint
Head of humerus

Deltoid tuberosity

Humerus

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No labels

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Shoulder:
Cr-Cd view
This radiograph is usually made with the animal in
dorsal recumbency with the limb extended.

Notice that the medial aspect of the scapulohumeral


joint is wider on the medial aspect giving it a wedgedshape; this is completely normal in the dog and cat.

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Canine Forelimb;
Left, cranial view.

Dorsal border of the scapula


Rhomboid m

Supraspinatous m

Cut edge of trapezius pars cervicalis

Deltoid m

Triceps brachii m lateral head

Cleidobrachialis m
Brachialis m
Medial epicondyle of humerus

Lateral epicondyle of humerus


Extensor carpi radialis m
Common digital
extensor m

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Scapula spine

Acromion process
Glenoid cavity of scapula
Greater Tubercle
Supraglenoid tubercle
Tricipital line
Lesser tubercle of humerus

Teres major tuberosity

Deltoid Crest

No labels

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Large Shoulder:
lateral view
An example of the shoulder in a larger
dog, which has a somewhat flatter
humeral head and wider glenoid fossa
than the other dog.

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Canine Forelimb;
Left, lateral view

Rhomboid m
Dorsal border of scapula
Infraspinatus m
Teres major m

Supraspinatus m
Latissimus dorsi m
Stump of trapezius m

Deltoid m
Triceps brachii m long
head
Cleidobrachialis m

Triceps brachii m lateral


head

Pot Comparison

Brachioradialis m
Extensor carpi radialis m

Ulnaris lateralis m

Olecranon
Common digital extensor m.
Lateral digital extensor m
Flexor carpi ulnaris

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Supraspinous
fossa

Supraglenoid
tubercle

Greater tubercle

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Scapula spine
Infraspinous fssa

Infraglenoid tubercle
Head of humerus

Intertubercular
groove

Deltoid tuberosity

No labels

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Immature Shoulder:
lateral view
The proximal humeral physis is open.
This dog is 6-9m old.

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Canine Forelimb;
Left, lateral view

Rhomboid m
Dorsal border of scapula
Infraspinatus m
Teres major m

Supraspinatus m
Latissimus dorsi m
Stump of trapezius m

Deltoid m
Triceps brachii m long
head
Cleidobrachialis m

Triceps brachii m lateral


head

Brachioradialis m
Extensor carpi radialis m

Ulnaris lateralis m

Pot Comparison
Olecranon
Common digital extensor m.
Lateral digital extensor m
Flexor carpi ulnaris

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Supraspinous
fossa

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Scapula spine
Infraspinous fossa

Supragleoid
tubercle
Greater
tubercle

Infraglenoid tubercle
Head of humerus

Intertubecular
groove

Prox. Physis of
humerus

Deltoid
tuberosity

No labels

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Immature Shoulder
Arthrogram:
Lateral view
Compared to the previous radiograph,
5ml of radiographic contrast medium
(iohexol @100mgI/ml) was injected into
the scapulohumeral joint using a lateral
approach. The joint is quite well filled,
showing the caudal compartment and
the cranial compartment. The cranial
compartment surrounds the biceps
tendon, which appears as a curvilinear
filling defect within the contrast medium.
This appearance is normal.

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Contrast media in
the
intertubecular
groove, beneath
the biceps
tendon.

Contrast media
within the
shoulder joint.

No labels

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The Elbow
Immature Elbow: lateral view
Immature Elbow: Cr-Med, Cd-Lat Oblique view
Immature Elbow: Cr-Lat, Cd-Med Oblique view
Immature Elbow: Cr-Cd view
Flexed Elbow: lateral view

Royal Veterinary College 2009

Immature Elbow:
Lateral view
This joint belongs to a 6m
old Labrador. Notice the
open growth plates at the
distal humerus, proximal
radius and olecranon
process of the ulna.

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Canine
Elbow;
Lateral view

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Humerus

Stump of triceps
brachii m
Olecranon
Anconeus m

Lateral humeral
epicondyle
Lateral
collateral
ligament
Supinator m

Interosseus space

Ulna

Radius

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Humerus
Lat.
Epicondylar
crest

Med. border of
supratrochlear
foramen
Anconeal
process
Lat. Epicondyle
of humerus
Elbow
(cubital)Joint

Craniolateral
tuberosity of olecranon
Medial epicondyle
of humerus
Prox. Ulnar physis
Prox. Ulnar epiphysis
(Olecranon)

Prox. Radial
physis

Radius

Ulna

No labels

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Young Elbow:
Cr-Med, Cd-Lat
Oblique view
The elbow has been pronated, so the
articulation between the humerus and
the radius is emphasised. This
radiograph is rarely made in clinical
practice.

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Canine elbow;
Medial view

Humerus

Royal Veterinary College 2009

Stump of
triceps
brachii long
head
Craniolateral
tuberosity of
olecranon
Olecranon
Lat. Epicondyle of
humerus

Pronator teres m.
Flexor carpi
radialis m.

Coronoid
process

Ulnar

Radius

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Humerus

Supratrochlear
foramen

Anconeal process
Olecranon
Lateral condyle

Medial epicondyle

Coronoid process
Prox. Radial physis

Medial condyle

Radius
Ulna

No labels

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Immature Elbow:
Cr-Lat, Cd-Med
Oblique view
In this radiograph the elbow has been
supinated, producing a view of the
medial aspect of the humeral condyle
and the joint between the humerus
and medial coronoid process of the
ulna. This view might be useful if there
is fragmentation of the medial
coronoid process.

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Canine
Elbow;
Lateral view

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Humerus

Stump of triceps
brachii m
Olecranon
Anconeus m

Lateral humeral
epicondyle
Lateral
collateral
ligament
Supinator m

Interosseus space

Ulna

Radius

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Humerus

Supratrochlear
foramen
Articulating
surfaces: humerus
and ulna
Medial
coronoid
process of ulna

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Olecranon
Anconeal Process
Lateral Humeral
epicondyle
Articulating surfaces:
Humerus and radius
Prox. radial
epiphysis
Prox. radial
physis

Radius

No labels

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Immature Elbow:
Cr-Cd view
The same dog as the previous lateral. Notice
the angular shape of the humeral condyle,
which articulates on the lateral aspect with
the radius and on the medial aspect with the
medial coronoid process of the ulna. The
medial aspect of the elbow is a frequent site
of lesions in dogs with elbow arthritis.

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Canine left
Elbow;
Cranial view

Humerus

Brachialis m

Radial nerve
Lateral humeral
epicondyle

Supinator muscle

Radius

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Canine right
elbow;
Cranial view
Humerus

Supratrochlear
foramen
Lateral
humeral epicondyle
Coronoid process of
ulna
Supinator m

Medial humeral
condyle
Pronator teres m

Radius

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Body of Humerus

Olecranon
Supratrochlear foramen
Lateral epicondyle
Medial Humeral
epicondyle

Elbow (cubital joint)


Prox. radial epiphysis

Medial Coronoid
process of ulna

Prox. radial physis


Radius + ulna
superimposed

No labels

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Flexed Elbow:
lateral view
This radiograph, with the elbow
maximally flexed, is done to
examine the anconeal process. This
is considered one of the first places
that osteophytes develop in dogs
with elbow arthritis and hence this
view is frequently used by clinicians
looking for signs of arthritis.
Suspected ununited anconeal
process is another indication for this
radiograph.

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Canine
Elbow;
Lateral view

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Humerus

Stump of triceps
brachii m
Olecranon
Anconeus m

Lateral humeral
epicondyle
Lateral
collateral
ligament
Supinator m

Interosseus space

Ulna

Radius

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Anconeal process
Olecranon
Lateral epicondyle of
humerus

Condyle of humerus

Medial border of
humeral condyle

Body of humerus
Coronoid process
Head of radius

Radius

Ulna

No labels

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The Radius and Ulna


Immature Radius and Ulna: Lateral view
Immature Radius and Ulna: Cr-Cd view

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Immature Radius and Ulna:


Lateral view
This radiograph of a young cross bred dog shows the
normal curved shape of the radius and the straighter ulna.
Open growth plates are visible at the proximal and distal
radius and ulna. The distal ulnar physis is shaped like a
cone, hence has a V-shape in the radiograph. The
accessory carpal bone projects on the palmar aspect of the
carpus.

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Distal physis of humerus

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Body of humerus

Caudal border of lateral epicondyle of humerus

Humeral condyle
Prox. radial physis
Proximal radial epiphysis
Radius

Prox. Ulnar epiphysis


Prox. Ulnar physis
Anconeal process
Ulna

Nutrient foramen of radius

Distal radial physis

Distal ulnar physis

Distal ulnar epiphysis


Distal radius epiphysis
Intermedioradial carpal bone
Distal row of carpal bones
Metacarpal bones

RVC 2009

Accessory carpal bone

Metacarpal bone 1
Prox phalanx of digit 1

No labels

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Immature Radius and Ulna:


Cr-Cd view
This radiograph is of the same limb as the previous. The limb is
relatively straight with some lateral deviation of the paw. This
degree of mild lateral deviation is normal and must be
distinguished from a valgus deformity, which can occur in dogs
following premature closure of the distal ulna growth plate. This
view is useful when examining dogs with signs of angular limb
deformity.

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Distal humeral physis


Lateral humeral epicondyle
Distal humeral epiphysis
Prox. Radial physis

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Humerus
Olecranon
Medial humeral epicondyle
Prox. Radial epiphysis

Radius
Ulna

Distal ulna physis

Distal radial physis


Accessory carpal bone

Distal ulna epiphysis

Intermedioradial carpal bone

Distal radial epiphysis


Ulna carpal bone
Carpal bone 4
Carpal bone 3
Metacarpal 5
Metacarpal 4
Metacarpal 3
Distal metacarpal physis

2nd Carpal bone


1st Carpal bone
Metacarpal 1
Proximal phalanx of digit 1
Distal phalanx of digit 2
Metacarpal 2

No labels

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The Carpus
Immature Carpus: D-P view
Immature Carpus: Lateral view

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Immature Carpus:
Lateral view
Radiograph of the same dog as in the dorsopalmar
view. An open growth plate is visible in the accessory
carpal bone.

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Common digital
extensor
Lateralm
digital
extensor
m lateralis m
Ulnaris

Carpus

Distal
limb;
Lateral
Flexor carpi ulnaris view
m

Accessory Carpal bone

Metacarpu
s

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Radius
Ulna

Distal ulna physis


Distal radial physis
Distal radial epiphysis
Ulna carpal bone
Intermedioradial carpal bone
Carpal bone 4

Distal ulna epiphysis


Accessory carpal bone
Carpal bone 3
1st Carpal bone
Metacarpal 1

Metacarpal 2

Proximal phalanx of digit 1

Metacarpals

Distal phalanx of digit 2

No labels

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Immature Carpus:
D-P view
This radiograph of the carpus of a 3m old puppy
shows the growth plates at the distal radius, ulna
and metacarpals. Notice that in each instance the
metaphysis adjacent to the open physis appears
more opaque and wider than the diaphysis of the
bone. This is a normal appearance and should not
be misinterpreted as a sign of metabolic bone
disease.

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Pot 2

Distal limb;
Dorsal view
Flexor
carpi
radialis m.
Adductor
pollicis
longus m.

Distal limb;
Palmer view
Common
digital
extensor
Lateral m.

Flexor carpi
ulnaris

Royal Veterinary College 2009


Deep digital
flexor m

digital
extensor
m.
Ulnaris lateralis
m.

Flexor retinaculum
Extensor
retinaculum
Extensor
carpi
radialis m.

Accessory carpal bone


Tendon of
deep digital
flexor tendon

Tendon of
common
digital
extensor
m.

Digit 1

Metacarpa
l pad
Digita
l pad

Pot Comparison

Superficial digital flexor


m
Ulnaris lateralis m
Flexor carpi
ulnaris m

Distal
forelimb;
Palmer view
Carpus

Royal Veterinary College 2009

Flexor carpi
ulnaris
Superficial digital
flexor m

Carpal tunnel

Adductor m digit 5
Adductor m digit 4
Interosseus m

Metacarpal 1
Metacarpal 3
Metacarpal 4
Paired sesamoids
of digit 5

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Ulna

Radius

Distal ulnar physis

Distal radial physis

Distal ulnar epiphysis


Distal radial epiphysis
Accessory carpal bone
Ulna carpal bone
Carpal bone 4

Metacarpal 5
Metacarpal 4
Metacarpal 3
Metacarpal 2
Distal metacarpal physis
Distal Metacarpal epiphysis

Intermedioradial carpal bone


Carpal bone 3
2 Carpal bone
Sesamoid bone of adductor pollicis
longus m.
nd

1st Carpal bone


Metacarpal 1
Proximal phalanx of digit 1
Distal phalanx of digit 2
Distal Metacarpal 2 physis
Distal Metacarpal 2 epiphysis

Prox. Physis of prox. phalanx


Prox. Phalanx

No labels

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The Manus
Manus: D-P view

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Manus: D-P view


In this radiograph of the manus you should be able to identify the distal radius
and ulna, the proximal and distal rows of carpal bones, the metacarpals and
phalanges of each digit plus a number of sesamoid bones. For example, there is
a small rounded bone on the medial aspect of the carpus, which is a sesamoid in
the tendon of insertion of the abductor pollicis longus and there are paired,
somewhat elongated palmar sesamoids superimposed on each of the distal
metacarpals of digits 2-5. The very small rounded dorsal sesamoids that exist at
the metacarpal phalangeal joints are not clearly visible in this radiograph.
The carpus includes two rows of bones: adjacent to the distal radius is the wide
radial carpal bone, adjacent to the distal ulna is the relatively square ulna carpal,
and superimposed on the joint between these bones is a rounded, opaque
structure, which represents the accessory carpal bone. The distal row of carpal
bones includes numbers 1,2,3 and 4, each of which is found at the proximal end
of the relevant metacarpal, although note that carpal bone 4 articulates both with
the fourth and the fifth metacarpal.
Also note that the first digit (the dew claw) has a very reduced metacarpal and
only two phalanges. Another feature worth mentioning is the large pad on the
palmar aspect of the paw, which creates a lucent line across the distal part of the
proximal phalanges that could occasionally be mistaken for a phalangeal fracture.

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Pot 2

Distal limb;
Dorsal view
Flexor
carpi
radialis m.
Adductor
pollicis
longus m.

Distal limb;
Palmer view
Common
digital
extensor
Lateral m.

Flexor carpi
ulnaris

Royal Veterinary College 2009


Deep digital
flexor m

digital
extensor
m.
Ulnaris lateralis
m.

Flexor retinaculum
Extensor
retinaculum
Extensor
carpi
radialis m.

Accessory carpal bone


Tendon of
deep digital
flexor tendon

Tendon of
common
digital
extensor
m.

Digit 1

Metacarpa
l pad
Digita
l pad

Pot Comparison

Superficial digital flexor


m
Ulnaris lateralis m
Flexor carpi
ulnaris m

Distal
forelimb;
Palmer view
Carpus

Royal Veterinary College 2009

Flexor carpi
ulnaris
Superficial digital
flexor m

Carpal tunnel

Adductor m digit 5
Adductor m digit 4
Interosseus m

Metacarpal 1
Metacarpal 3
Metacarpal 4
Paired sesamoids
of digit 5

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Distal radius

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Styloid process of radius


Distal ulna styloid process
Accessory carpal bone
Ulna carpal bone
Carpal bone 4

Intermedioradial carpal bone


Carpal bone 2
Sesamoid bone of adductor
pollicis longus m.
Carpal bone 3
1st Carpal bone

Metacarpal 5

Metacarpal 1

Metacarpal 4

Proximal phalanx of digit 1

Metacarpal 3

Metacarpal 2

Proximal phalanx

Middle Phalanx
Distal phalanx of digit

No labels

Royal Veterinary College 2009

The Pelvic Limb

The Hip
(covered in The Pelvis)
The Femur
The Stifle

The Tarsus

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The Femur
Femur: Lateral view
Femur: Cr-Cd view
Femoral Arteriogram: Lateral view

Royal Veterinary College 2009

Femur:
Lateral view
This radiograph is made with the animal in lateral
recumbency with the femur to be radiographed on
the table and the upper limb rotated out of the
primary x-ray beam. The thigh of the dog is much
thicker proximally than distally, which means that
making the radiograph of the femur is compromise
between adequately exposing the proximal part and
not over-exposing the distal part. Note that in a
typical dog the femur has a gentle curve. This
means that an intramedullary pin cannot normally be
inserted all the way down the medullary cavity. Note
that this patient is a male.

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Pot

Sacrotuberous
ligament
Ilium

Royal Veterinary College 2009

Medial gluteal m
Gemelli mm

Deep gluteal
m
Stump of Piriform
m
External
obturator m
Rectus femoris
m

Quadratus femoris
m
Semitendinous m

Adductor magnus
m
Vastus lateralis
m
Semimembranous m

Abductor cruris
caudalis m

Gastrocenemius
m

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Labels

Body of ilium
Head of femur

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Acetabula incisura
Ischiatic tuber
Intertrochanteric
crest
Lesser trochanter of
femur

Os Penis

Body of femur

Medial & lateral sesamoid


bones of gastrocnemius
muscle
Wall of intercondylar fossa of
femur
Superimposed medial and
Patella

Tibia

lateral condyles of femur


Sesamoid bone of popliteus
m
No Labels
Fibula

Royal Veterinary College 2009

Femur:
Cr-Cd view
A corresponding cranial caudal view of the same femur as
in the Lateral Femur radiograph shows that in the sagittal
plane the bone is almost perfectly straight. In this well
positioned radiograph the patella is superimposed over
the mid-line of the femur.

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Head of femur
Hip joint

Royal Veterinary College 2009

Neck of
femur
Greater trochanter of
femur
Trichanteric fossa and
intertrochanteric crest

Obturator foramen

Lateral border of tuber ischiadicu


Lesser
trochanter
Ischiatic tuber
Body of femur

Patella
Medial sesamoid of
gastrocnemius m
Medial condyle of femur

Lateral sesamoid of
gastrocnemius m
Lateral condyle of femur

No Labels

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Femoral Arteriogram:
Lateral view
Injection of radiopaque contrast medium into
the abdominal aorta has opacified the arteries
of the pelvis and pelvic limb. In this radiograph
the femoral artery and its branches are clearly
seen, mainly on the caudal aspect of the
femur.

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Sacrotuberous
ligament
Ilium

Deep gluteal
m
Stump of Piriform
m
External
obturator m
Rectus femoris
m

Royal Veterinary College 2009

Medial gluteal m
Gemelli mm

Quadratus femoris
m
Semitendinous m

Adductor magnus
m
Vastus lateralis
m
Semimembranous m

Abductor cruris
caudalis m

Gastrocenemius
m

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Labels

Lateral circumflex
from external iliac
a
Femoral artery from

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external iliac artery

Proximal caudal
femoral artery

Descending
genicular artery

Saphenous artery
Middle caudal artery

Distal caudal femoral


artery

Popliteal artery

No Labels

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The Stifle
Stifle: Lateral view
Stifle: Cd-Cr view
Immature Stifle: Lateral view
Immature Stifle: Lateral view
Immature Stifle: Cd-Cr view
Stifle: Lateral view, tibial tuberosity fusion

Royal Veterinary College 2009

Stifle:
Lateral view
The stifle is one of the most commonly
radiographed joints of the dog and it is well
worth being familiar with its radiographic
anatomy. Note the patella and the two
fabellae, sesamoid bones embedded in the
gastrocnemius tendon. Note also a lucent
space on the cranial aspect of the joint that
is formed by a fat pad between the patellar
tendon and the joint. This is a useful
anatomical feature because any joint
effusion will tend to impinge upon the fat
pad from the caudal aspect and reduce its
size in a lateral radiograph.

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Femoropatell
a ligament

Patella
Patella
ligament
Patella
ligament
Fibula
Tibia

Femur

Trochlea

Medial & lateral


condyles of
femur

Caudal
cruciate

Menisci
Medial
&
lateral
collater
al
ligamen
t

Patella
ligamen

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Labels

Femoropatell
a joint

Patella

Trochlea of femur

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Femur

Lateral supracondylar
tuberosity

Lateral sesamoid bone


gasrocnemius m

Medial sesamoid bone


gastrocnemius m
Infrapatella fat body

Medial and lateral


condyles of femur

Femorotibial joint
Cranial intercondylar
area of tibia

Sesamoid bone
within tendon of
popliteus m.

Fibula
Tibial tuberosity

Tibia

No Labels

Royal Veterinary College 2009

Stifle:
Cd-Cr view
Although it is possible to extend the stifle with a
dog in dorsal recumbency for a craniocaudal
radiograph, it is often easier to place the dog in
sternal recumbency and extend the limb
caudally for a caudocranial radiograph, using the
dogs body weight to better extend the joint.
Again note the position of the patella, which is
projected some distance proximal to the joint
when the stifle is properly extended. Note also
the medial and lateral fabellae, which are
unequal in size and shape. The fibula lies on
the lateral aspect of the tibia.

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Femoropatell
a ligament

Patella
Patella
ligament
Patella
ligament
Fibula
Tibia

Femur

Trochlea

Medial & lateral


condyles of
femur

Caudal
cruciate

Menisci
Medial
&
lateral
collater
al
ligamen
t

Patella
ligamen

Royal Veterinary College 2009

Labels

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Femur
Intercondylar fossa of
femur
Patella

Medial sesamoid bone


of gastrocnemius
Medial condyle of
femur

Lateral sesamoid
bone of
gastrocnemius m
Lateral condyle of
femur

Medial condyle of tibia


Medial & lateral
intercondylar tubercle of
tibia
Tibial tuberosity

Cranial border of
tibia

Fibula

No Labels

Royal Veterinary College 2009

Immature Stifle:
Lateral view
This radiograph of a five month old
Labrador shows open growth plates at
the distal femur, proximal tibia and
proximal fibula. Note the separate centre
of ossification at the tibial tuberosity and
the wide and irregular physis between it
and the tibial crest. This is considered to
be a normal appearance. In this dog the
medial fabella is positioned slightly distal
compared to the lateral; this is
considered normal variant.

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Royal Veterinary College 2009

Femoropatell
a ligament

Patella
Patella
ligament
Patella
ligament
Fibula
Tibia

Femur

Trochlea

Medial & lateral


condyles of
femur

Caudal
cruciate

Menisci
Medial
&
lateral
collater
al
ligamen
t

Patella
ligamen

Royal Veterinary College 2009

Labels

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Distal femoral physis

Femur

Patella
Medial fabella of
gastrocnemius muscle.
Lateral & medial
condyle of femur
Prox. Tibial physis

Prox. Tibial epiphysis

Head of fibula
(epiphysis)
Prox. fibula physis

Tibial tuberosity
Tibial
tuberosity
physis

Fibula
Interossoeus
space

No Labels

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Immature Stifle:
Lateral view
This radiograph of a slightly younger dog
than in the other lateral immature stifle
example shows a roughened appearance of
the femoral condyles, which could be
mistaken for some form of joint disease;
however, this is a normal appearance in a
skeletally immature animal in which the
subchondral bone has not completely
ossified and has an uneven interface with
the overlying articular cartilage. Within a
few weeks this rough appearance will be
replaced by a perfectly regular distinct
curve.

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Femoropatell
a ligament

Patella
Patella
ligament
Patella
ligament
Fibula
Tibia

Femur

Trochlea

Medial & lateral


condyles of
femur

Caudal
cruciate

Menisci
Medial
&
lateral
collater
al
ligamen
t

Patella
ligamen

Royal Veterinary College 2009

Labels

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Distal femoral physis

Femur

Patella

Distal femoral epiphysis


Prox. Tibial epiphysis

Sesamoid bone of
gastrocnemius
Lateral & medial
condyle of femur

Prox. Tibial physis

Tibial tuberosity

Head of fibula
(epiphysis)
Prox. fibula physis

Fibula

No Labels

Royal Veterinary College 2009

Immature Stifle:
Cd-Cr view
This is a caudo-cranial view of a stifle.
As in the lateral immature stifle
radiograph, it shows open growth
plates in the distal femur, proximal tibia
and proximal fibula and the position of
the medial fabella.

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Femoropatell
a ligament

Patella
Patella
ligament
Patella
ligament
Fibula
Tibia

Femur

Trochlea

Medial & lateral


condyles of
femur

Caudal
cruciate

Menisci
Medial
&
lateral
collater
al
ligamen
t

Patella
ligamen

Royal Veterinary College 2009

Labels

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Femur
Intercondylar fossa of
femur
Patella
Lateral sesamoid
bone of
gastrocnemius m

Lateral condyle of
femur

Distal femoral physis


Medial sesamoid bone
of gastrocnemius
Medial condyle of
femur
Medial condyle of tibia

Medial & lateral


intercondylar tubercle of
tibia
Head of fibula
(epiphysis)
Prox. fibula physis

Prox. Tibial
physis
Tibial tuberosity

Cranial border of
tibia
Fibula

No Labels

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Stifle:
Lateral view, tibial
tuberosity fusion
This radiograph is of a nine month
old dog in which the growth plates
are almost closed. The growth plate
of the tibial tuberosity has an
interesting pointed shape. This is a
normal anatomical variant.

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Femoropatell
a ligament

Patella
Patella
ligament
Patella
ligament
Fibula
Tibia

Femur

Trochlea

Medial & lateral


condyles of
femur

Caudal
cruciate

Menisci
Medial
&
lateral
collater
al
ligamen
t

Patella
ligamen

Royal Veterinary College 2009

Labels

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Femur

Patell
a

Distal femoral physis


Sesamoid bones of
gastrocnemius

Infrapatellar fat
pad

Femoral condyles

Patellar ligament

Tibial
tuberosity
Tibial
tuberosity
growth plate
Cranial border of
tibia

Prox. Tibial
physis

Fibula

No Labels

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The Tarsus
Immature Tarsus: Lateral view
Immature Tarsus: D-P view

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Immature Tarsus:
Lateral view
This radiograph of a four month old dog
shows open growth plates at the distal tibia
and at the tip of the tuber calcis. The
proximal intertarsal and tarsometatarsal joint
appear wide, which is a normal appearance
at this age; these joints will gradually
become narrower with skeletal maturity.
Note the linear soft tissue structure that runs
from the tuber calcis proximally, roughly
parallel to the distal tibia; this is the Achilles
tendon.

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Peroneus longus
m. digitorum lateralis
Extensor
m
Peroneus brevis
m
Proximal extensor
retinaculum

Tarsus

Royal Veterinary College 2009

Common calcanean
tendon
Deep Digital Flexor tendon

Cut end of Superficial Flexor


tendon.
Abductor digit V muscle
Reflected tendon of Deep
Digital Flexor m.

Interosseus m. (Digit
V)

Proximal digital annular


ligaments
(Distal is missing).
Superficial Digital Flexor
tendon

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Labels

Tibia

Tibia

Royal Veterinary College 2009

Achilles tendon

Calcanean tuber
Calcanean
physis
Distal tibial
physis
Distal
tibial
epiphysis
Trochlea
of talus

Calcaneus

Central tarsal
bone
Tarsal bone 4
2nd & 3rd
Tarsal bone
Metatarsal bone
1
Superimposed
metatarsals 25

No Labels

Royal Veterinary College 2009

Immature Tarsus:
D-P view
The dorsoplantar radiograph of the same dog as
in the previous radiograph again shows the
relatively wide proximal intertarsal and
tarsometatarsal joints and open growth plates at
the distal tibia and distal fibula. The tuber calcis is
a relatively substantial piece of bone that is
superimposed on the tibiotarsal joint and tends to
obscure it in the DP view.

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Proximal extensor retinaculum

Tibialis cranialis
muscle
Distal extensor
retinaculum
Long
digital extensor m.

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Gastrocnemius m
superimposed on the
tibia.

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Body of fibula

Calcaneu
s
Tarsocrural
joint

Lateral malleolus of
fibula

Sustentaculum
tali of calcaneus

Talus

Central tarsal bone


Tarsal bone 2
Tarsal bone 3

Metatarsels 2-5

Tarsal bone 4

No Labels

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The Pelvis

The Pelvic bones


The Hip joint

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The Pelvic Bones


Pelvis: Lateral view
Pelvis: V-D view
Pelvis: V-D view

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Pelvis:
Lateral view

This lateral radiograph shows the pelvis, the lumbosacral joint and the first
few caudal vertebrae. The end of the tail is relatively thin and therefore is
over-exposed in this radiograph and cannot be seen. Note that the two
halves of the pelvis and the coxofemoral joints are almost perfectly
superimposed in this well positioned radiograph, which makes them difficult
to examine because a structure on one side effectively hides that on the
other side. For this reason, it is usual to position one of the femurs more
cranial than the other and to place a left or right marker adjacent to it so that
at least the femurs can be distinguished in a lateral radiograph.

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Vertebral
canal at
L7

Left & right


dorsal iliac crest

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Sacru
m

Caudal vertebrae 1

Intervertebr
al disc
space
between L7
& S1

Body of
ilium
Hip joint
(right)

Caudal
extremity
of L6

Superimpose
ischiatic tube

Hip joint
(right)
Head of
femur
(right)

Superimpose
obturator
foramina

Right
femur

Left femur

Pelvic symphysis

No Labels

Royal Veterinary College 2009

Pelvis:
VD view
This ventrodorsal shows clearly the bones forming the
pelvis and the coxofemoral joints. For this radiograph
the dog has been positioned in dorsal recumbency and
the pelvic limbs have been extended fully. The femurs
are parallel and the patella is superimposed over the
distal femur. It is usually necessary to use sticky tape
or a Velcro band to keep the femurs in this position,
which is very unnatural for a dog. Note the shape of
the proximal femur which has a distinct neck and
rounded head that is well seated in the acetabulum.
The sacroiliac joints may also be examined in a
ventrodorsal view, although they are not clearly visible
because they are slightly oblique to the primary x-ray
beam and because the rough surface of the bones
forming the joint means there is no clearly discernible
joint space. The sacroiliac joint is prone to luxation
following trauma such as hit by car.

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Intervertebral disc
space between L7
&S1Right sacroiliac joint
Body of ilium

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Left transverse process


of
L7 of ilium
Wing
Sacrum

Right hip joint

Iliopubic eminence
Head of femur
Neck of femur
Greater trochanter

Lesser trochanter
Pubi
s table
Ischiatic

Trichanteric fossa &


intertrochanteric
crest
Obturator
foramen
Ischiatic tuber

Femur
Lateral fabella of
gastrocnemius m

Patella

No Labels

Royal Veterinary College 2009

Pelvis:
V-D view

Compared to the other VD Pelvic radiograph this


film has a higher contrast, a slightly speckly
appearance and improved definition of the
borders of the bones. It is an example of a
computed radiograph whereas the previous was a
radiographic film. Vets are increasingly using
computed (digital) radiography to produce images
such as this, which are viewed on a monitor
rather than as a piece of film placed on a light
box. As in the previous dog, the coxofemoral
joints are clearly visible with a normal relationship
between the femoral head and the acetabulum.
The radiographic joint space forms a narrow
curve of uniform width on the cranial aspect of the
coxofemoral joint. The subchondral plate of the
acetabulum is quite broad and very opaque
radiographically whereas the convex surface of
the adjacent femoral head is less opaque. The
narrow lucent space between them represents
the articular cartilage on each side of the joint
plus a film of interposed synovial fluid.

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Intervertebral disc
space between L7
&S1
Right sacroiliac joint

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Wing of ilium
Faeces in
descending colon
Sacrum

Body of ilium

Iliopubic eminence
Head of femur

Right hip joint

Neck of femur
Greater trochanter

Pubi
s
Ischiatic tuber
Ischiatic table

Trichanteric fossa &


intertrochanteric
crest
Obturator
foramen

Lesser trochanter

Femur

No Labels

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The Hip joint


Pelvis: V-D view, Hip dysplasia

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Pelvis:
V-D view, Hip dysplasia
This radiograph of a young dog shows
subluxation of the left coxofemoral joint,
which is a typical appearance for hip
dysplasia. Note the scrotum on the
midline; some vets will routinely cover it
with a lead sheet to protect the testicles
from x-rays.

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Intervertebral disc
space between L7
&S1
Right sacroiliac joint
Body of ilium
Right hip joint

Royal Veterinary College 2009

Wing of ilium
Faeces in descending
colon
Sacrum
Iliopubic eminence
Head of femur
Neck of femur

Fovea capitis
Pubi
s
Lesser trochanter

Greater trochanter
Obturator foramen
Ischiatic tuber

Ischiatic table
Scrotum

Femur
Patella
Lateral sesamoid
bone of
gastrocnemius m

No Labels

Royal Veterinary College 2009

The Thorax

The Oesophagus
The Lungs
The Ribs
The Thymus

The Heart
General Thorax views

General Thorax views


Thorax: Overweight, DV view
Thorax: Overweight, lateral view
Thorax: Lateral view
Thorax: Left lateral view
Thorax: Right lateral view
Thorax: VD view

Royal Veterinary College 2009

Royal Veterinary College 2009

Thorax:
Overweight,
DV view
This radiograph shows that
although there is air within both
the left and right lung the
cardiac border is indistinct. The
cranial mediastinum is wide as
a result of fat deposition.

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Rib 1

Cranial vena
cava
Trachea

Aortic arch

Left
ventricle

Ribs

Apex of
Heart

Diaphragm

No Labels

Thorax:
Overweight, Lateral
view

Royal Veterinary College 2009

In this radiograph of an obese Terrier the


presence of intrathoracic and intra abdominal
fat means that the lung is less well inflated
than in the other radiographs. For this reason
intrathoracic structures are more difficult to
see, for example the heart has a much less
well defined border than in the other
radiographs.

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Thoracic
aorta

Tracheal
bifurcation

Pulmonary vessels to
caudal lobes of lungs

Right
crus
Left crus
Trache
a
Left
ventricle

Cr. lobar
Pulmonar
y artery.
Cr. lobar
Pulmonary
vein

Stomach

Live
r
Spleen
Right ventricle

Heart apex

No Labels

Cervicothorac
ic ganglion
Middle cervical
ganglion
Sympathetic
(sympathetic)
trunk
Subclavian a.

Royal Veterinary College 2009

Dorsal
intercostal
a.v.

Thoracic
aorta

Vagus n.: dorsal &


ventral branches
Oesophagu
s

Vagosympathetic
trunk
Internal
thoracic a.v.

Diaphragm
Phrenic n.

Right
auricle
Right cranial lung
lobe

Left auricle

Mediastinum: over
the right accesssory
Left ventricle
lung
Mediastiinum:over
right
Right ventricle
Left principal
middle lung lobe
bronchus
Paraclonal a.v.

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Thorax:
Lateral view

This radiograph shows a relatively


deep chested dog. The heart, aorta
and pulmonary vessels are clearly
visible, although (unusually) the
caudal vena cava is not. Note that
the trachea, the lungs and other
intrathoracic structures are visible
because of the air contained in the
thorax. When we make thoracic
radiographs, we try to expose the
film at peak inspiration in order to
maximise the amount of air in the
lung and hence maximise the
visibility of intrathoracic structures. In
animals with relatively little air in the
lungs (e.g. because of pneumonia) it
can be difficult to see anything
radiographically.

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Thoracic
aorta

Tracheal
Pulmonary vessels to
bifurcation caudal lobes of lungs

Trache
a

Left crus

Right
crus
Cranial vena
cava Cr. Lobar

Caudal vena
cava

Pulmonar
y artery
Cr. Lobar
Pulmonary
vein

Liver
Left
ventricle

Right ventricle

Heart apex

No Labels

Cervicothorac
ic ganglion
Middle cervical
ganglion
Sympathetic
(sympathetic)
trunk
Subclavian a.

Royal Veterinary College 2009

Dorsal
intercostal
a.v.

Thoracic
aorta

Vagus n.: dorsal &


ventral branches
Oesophagu
s

Vagosympathetic
trunk
Internal
thoracic a.v.

Diaphragm
Phrenic n.

Right
auricle
Right cranial lung
lobe

Left auricle

Mediastinum: over
the right accesssory
Left ventricle
lung
Mediastiinum:over
right
Right ventricle
Left principal
middle lung lobe
bronchus
Paraclonal a.v.

Thorax:
Left lateral view

Royal Veterinary College 2009

This radiograph is of the same dog as the


right lateral and shows the difference in
the appearance of the diaphragm with the
animal laying on its left: now the
diaphragmatic crura diverge. This
difference between left and right is often
observed in dogs.

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Thoracic
aorta

Tracheal
Pulmonary vessels to
bifurcation caudal lobes of lungs

Left crus
Right
crus
Trache
a
Right cr. Lobar
Pulmonary
artery

Caudal vena
cava

Right cr.
Lobar
Pulmonary
vein

Liver
Left
ventricle

Right ventricle

Heart apex

No Labels

Cervicothorac
ic ganglion
Middle cervical
ganglion
Sympathetic
(sympathetic)
trunk
Subclavian a.

Royal Veterinary College 2009

Dorsal
intercostal
a.v.

Thoracic
aorta

Vagus n.: dorsal &


ventral branches
Oesophagu
s

Vagosympathetic
trunk
Internal
thoracic a.v.

Diaphragm
Phrenic n.

Right
auricle
Right cranial lung
lobe

Left auricle

Mediastinum: over
the right accesssory
Left ventricle
lung
Mediastiinum:over
right
Right ventricle
Left principal
middle lung lobe
bronchus
Paraclonal a.v.

Thorax:
Right lateral view

Royal Veterinary College 2009

This radiograph is made with the animal


in lateral recumbency with its right side
down. Note that the diaphragm has a
smooth continuous curved shape and
that the diaphragmatic crura are parallel,
almost superimposed. Contrast this
appearance with that of the left lateral
radiograph.

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Thoracic
aorta

Pulmonary vessels to
caudal lobes of lungs

Right
crus
Left crus

Caudal
vena cava

Trache
a
Cr. Lobar
Pulmonar
y artery
Cr. Lobar
Pulmonary
vein

Liver
Left
ventricle

Right ventricle

Heart apex

No Labels

Cervicothorac
ic ganglion
Middle cervical
ganglion
Sympathetic
(sympathetic)
trunk
Subclavian a.

Royal Veterinary College 2009

Dorsal
intercostal
a.v.

Thoracic
aorta

Vagus n.: dorsal &


ventral branches
Oesophagu
s

Vagosympathetic
trunk
Internal
thoracic a.v.

Diaphragm
Phrenic n.

Right
auricle
Right cranial lung
lobe

Left auricle

Mediastinum: over
the right accesssory
Left ventricle
lung
Mediastiinum:over
right
Right ventricle
Left principal
middle lung lobe
bronchus
Paraclonal a.v.

Royal Veterinary College 2009

Thorax:
VD view

A ventrodorsal radiograph that


shows the normal position of
the heart, slightly to the left of
mid-line, and the caudal vena
cava to the right of mid-line.

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Cr Vena Cava

Rt. atrium

Pulmonary
artery
Lt. atrium

Aorta
Rt. Ventricle
Lt. Ventricle

Ca. Vena cava

Caudoventral
mediastinum

No Labels

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Aorta

Pulmonary trunk

L. Subclavian artery

L. auricle
L.
pulmonary
L. atrium
artery
L. pulmonary
veins

Left
subclavian
Brachiocephali
artery
trunk

Brachiocephalic
trunk

Cranial
vena cava

R. auricle

Caudal
vena cava

R. ventricle

Apex

L. ventricle R. pulmonary
artery
R.
pulmonary
veins

Azygous vein

The Heart
Angiogram: LV injection, lateral view
Angiogram: RV injection, lateral view

Royal Veterinary College 2009

Angiogram:
LV injection, lateral
view

Royal Veterinary College 2009

The heart normally has a uniform soft tissue opacity in


radiographs and the internal structures (e.g. chambers,
valves) are not visible. These structures can be outlined
by injecting contrast medium which mixes with the blood.
In this instance, a catheter has been passed up the aorta
(where was it inserted into the dog?) until its tip is in the
left ventricle. Injection of contrast outlines the left
ventricle, aorta, coronary arteries, brachiocephalic trunk
and left subclavian artery. This appearance is normal.
(Ignore the catheter cranial to the heart; it is relevant for
the next radiograph.)

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2009
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Left subclavian
a

Thoracic aorta

Left crus
of
diaphrag
Right crus
m
of
diaphragm

Common
carotids
Brachiocepha
lic trunk

Gas in
pylorus of
stomach

R + L internal
thoracic
arteries

Left
ventricle

No Labels

Royal Veterinary College 2009

Aorta

Pulmonary trunk

L. Subclavian artery

L. auricle
L.
pulmonary
L. atrium
artery
L. pulmonary
veins

Left
subclavian
Brachiocephali
artery
trunk

Brachiocephalic
trunk

Cranial
vena cava

R. auricle

Caudal
vena cava

R. ventricle

Apex

L. ventricle R. pulmonary
artery
R.
pulmonary
veins

Azygous vein

Angiogram:
RV injection,
lateral view

Royal Veterinary College 2009

In this instance, a catheter has been passed down a


jugular vein. Injection of contrast outlines the right
atrium, right ventricle and pulmonary arteries. This
appearance is normal.
(The thin black line crossing the caudal part of the lungs
is an artefact that occurred because the film was
inadvertently folded before processing.)

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Left pulmonary
artery

Pulmonary
trunk

Cranial
lobar
pulmonary
artery
Right
ventricle

Right pulmonary
artery
Pulmonary
arterial supply
to the right
middle lobe

No Labels

Royal Veterinary College 2009

Aorta

Pulmonary trunk

L. Subclavian artery

L. auricle
L.
pulmonary
L. atrium
artery
L. pulmonary
veins

Left
subclavian
Brachiocephali
artery
trunk

Brachiocephalic
trunk

Cranial
vena cava

R. auricle

Caudal
vena cava

R. ventricle

Apex

L. ventricle R. pulmonary
artery
R.
pulmonary
veins

Azygous vein

The Lungs
Bronchogram: Lateral view
Pulmonary Vasculature: Bulldog, DV view
Pulmonary Vasculature: Close-up, Lateral view

Royal Veterinary College 2009

Bronchogram:
Lateral view

Royal Veterinary College 2009

In the days before flexible endoscopy, vets sometimes did


bronchography to examine the airways. In this radiograph a
small volume of barium sulphate suspension has been infused
into the trachea and the lung inflated to spread it along the
bronchial mucosa. It is amazing how clearly the bronchi are
seen isnt it? Notice that they have straight or gently curved walls
and gently tapering lumen. This appearance is normal.

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Bronchi of caudal
lobes

Tracheal
bifurcation

Bronchus
end on

Trachea
Right
principle
bronchus to
cranial lobe

No Labels

Royal Veterinary College 2009

Caudal lobe
of left lung

Obtuse margin
Trachea

Cranial part of
cranial lobe of
left lung
Interlobular
fissure
of cranial lobe of
left lung
Cardiac notch
Right
ventricle of
heart

Caudal interlobular
fissure of left lung

Accute margin
Left
ventricle of
heart

Caudal part of cranial


lobe of left lung

Royal Veterinary College 2009

Trachea

Right cranial lobes

Left cranial lobe


Bifurcation
of the
trachea
Primary bronchii

Bronchioles

Caudal lobes

Pulmonary Vasculature:
Bulldog, DV view

Royal Veterinary College 2009

This radiograph shows the


right and left caudal lobar
arteries and veins
superimposed over the cranial
part of the abdomen. It is
useful to examine these
vessels in dogs or cats with
suspected cardiac failure.
Pulmonary congestion is often
visible as enlargement of the
veins relative to the arteries.
The dorsoventral view gives a
better depiction of these
vessels than a ventrodorsal.

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Heart

Left caudal
lobar
vessels

Right caudal
lobar vessels

Diaphragm

Air in the fundus of


stomach

No Labels

Royal Veterinary College 2009

Trachea

Right cranial lobes

Left cranial lobe


Bifurcation
of the
trachea
Primary bronchii

Bronchioles

Caudal lobes

Pulmonary Vasculature:
Close-up, Lateral view

Royal Veterinary College 2009

This radiograph shows the right cranial


lobar artery and vein. They are roughly
parallel, similar in size and gradually
taper as they extend towards the
periphery of the lung.

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Trache
a

Tracheal
bifurcation

Cr. Lobar bronchus

Cr. Lobar
Pulmonary artery

Cr. Lobar
Pulmonary vein

Right ventricle

No Labels

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Caudal lobe
of left lung

Obtuse margin
Trachea

Cranial part of
cranial lobe of
left lung
Interlobular
fissure
of cranial lobe of
left lung
Cardiac notch
Right
ventricle of
heart

Caudal interlobular
fissure of left lung

Accute margin
Left
ventricle of
heart

Caudal part of cranial


lobe of left lung

Royal Veterinary College 2009

Trachea

Right cranial lobes

Left cranial lobe


Bifurcation
of the
trachea
Primary bronchii

Bronchioles

Caudal lobes

The Ribs
Crusty Ribs: Lateral view

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Crusty Ribs:
Lateral view

Royal Veterinary College 2009

It is common to observe large irregular


exostosis at the costochondral junctions of
old dogs. This appearance is considered
an age-related change and should not be
confused with disease.

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Caudal
vena cava

Left
ventricle

Exotoses at
costochondr
al junctions

Liver

Right ventricle

Heart apex

No Labels

Cervicothorac
ic ganglion
Middle cervical
ganglion
Sympathetic
(sympathetic)
trunk
Subclavian a.

Royal Veterinary College 2009

Dorsal
intercostal
a.v.

Thoracic
aorta

Vagus n.: dorsal &


ventral branches
Oesophagu
s

Vagosympathetic
trunk
Internal
thoracic a.v.

Diaphragm
Phrenic n.

Right
auricle
Right cranial lung
lobe

Left auricle

Mediastinum: over
the right accesssory
Left ventricle
lung
Mediastiinum:over
right
Right ventricle
Left principal
middle lung lobe
bronchus
Paraclonal a.v.

The Oesophagus
Oesophagram: lateral view

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Oesophagram:
lateral view
The oesophagus is not normally visible
radiographically, although it might be if it is dilated or
has abnormal contents. To make the oesophagus
visible and to assess its function, we perform contrast
radiography. This series of radiographs made at 1
second intervals shows a bolus of food/barium mixture
passing through the thoracic oesophagus, leaving a
slight mucosal coating behind. This is a normal
appearance.

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Finish Sequence

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Oesophageal
bolus

Finish Sequence

Bronchiol
e

Thoracic
aorta

No Labels

Superimposed caudal lobar branches


of pulmonary arteries & veins

Caudal Vena
Cava

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Thoracic
aorta

Bronchiol
e

Oesophageal
bolus

No Labels

Caudal Vena
Cava

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Oesophageal
bolus

Thoracic
aorta

No Labels

Caudal Vena
Cava

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Labels

Finish Sequence

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Thoracic
aorta

Oesophag
us

Superimposed caudal lobar branches


of pulmonary arteries & veins

No Labels

Caudal Vena
Cava

Finish Sequence

Cervicothorac
ic ganglion
Middle cervical
ganglion
Sympathetic
(sympathetic)
trunk
Subclavian a.

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Dorsal
intercostal
a.v.

Thoracic
aorta

Vagus n.: dorsal &


ventral branches
Oesophagu
s

Vagosympathetic
trunk
Internal
thoracic a.v.

Diaphragm
Phrenic n.

Right
auricle
Right cranial lung
lobe

Left auricle

Mediastinum: over
the right accesssory
Left ventricle
lung
Mediastiinum:over
right
Right ventricle
Left principal
middle lung lobe
bronchus
Paraclonal a.v.

The Thymus
Thymus: DV view
Thymus: Lateral view

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Thymus:
DV view

A dorsoventral radiograph of a
3-month-old pup shows a broad
curved soft tissue structure on
the left cranial aspect of the
heart. This is the thymus,
which will shortly involute and
cease to be visible
radiographically.

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Thymus

Lt. atrium

Rt. atrium

Lt. Ventricle

Rt. Ventricle

No Labels

Thymus:
Lateral view

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This radiograph of a 3-month-old pup shows a lack of


ossification of the distal part of the rib which is
therefore not visible radiographically. Notice how the
thymus is virtually invisible on a lateral view.

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Common
carotid a.
Lung (left)
Oesophagus

Thymus
Heart

Diaphragm

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Thoracic
aorta

Right
crus
Left crus

Trache
a

Liver
Left
ventricle

Non-ossified Right ventricle Heart apex


costochondral
junction

No Labels

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The Abdomen

General Abdomen views

The Gastrointestinal System


The Spleen

The Liver
The Kidneys and Ureters

The Bladder
and Urethra

The Reproductive System

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The Gastrointestinal System


Caecum detail: VD view
Gastric Antrum: Left lateral view
Gastric Antrum: Right lateral view
Gastric Rugae: Lateral view
Pneumogastrogram: VD view
Pneumogastrogram: Lateral view

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Caecum detail:
VD view
This close up view of part of the
ventrodorsal abdominal radiograph
of the dog shows gas filling the
caecum, which lies just right of the
mid-line at the level of L3 to L5.
This is a normal appearance.

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L3

Gas filled
caecum

L4

L5

No Labels

Gastric Antrum:
Right lateral view

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This lateral radiograph of a large dog was made


with the dog lying in right recumbency. Gas is
visible in the gastric fundus, but the antrum and
body of the stomach are predominantly fluid-filled
and appear as a regular rounded structure in the
cranioventral part of the abdomen. This
appearance can be mistaken for a ball in the
stomach.

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Enlarged spleen

Descending
colon

Reflected
abdominal
muscles &
skin

Left lateral
lobe of liver

Greater
omentum

Caudal division
of cranial lobe
of left lung

Longissimus
Caudal
thoracic m
lobe of left
Iliocostalis
lung
m

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Diaphrag
m

Left kidney
Stomach;
fundus
Pericarida
l fat

Left auricleLeft
ventricl

Left
medial

Left lateral
lobe

Stomach; body

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Right
kidney

Gas filled colon

Gas filled
gastric
fundus

Liver

Fluid filled
gastirc body
and antrum

Small intestines

No Labels

Gastric Antrum:
Left lateral view

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By repositioning the dog into left recumbency, gas


can be redistributed in the stomach and now fills the
gastric antrum. The fluid that was in the antrum and
body has now moved into the fundus, so the
appearance of the stomach is now the opposite of
what it was in right lateral recumbency. The
presence of gas in the antrum makes gastric foreign
body unlikely.

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Descending
duodenum

Greater omentum

Right kidney

Caudate
lobe of
liver

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Right lateral
lobe of liver

Caudal, middle &


cranial lobes of the
right lung

Stomach;
antrum

Diaphragm
Left lateral

Right medial

Quadrate
lobe

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Fluid filled
gastric
fundus

Liver

Gas filled
gastirc body
and antrum

Small intestines

No Labels

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Gastric Rugae:
Lateral view
This close-up view of part of the lateral
abdominal radiograph of a dog shows the
appearance of the gastric rugae, which in
this instance are well outlined by gas.
They have fairly uniform thickness and
an undulating course. As the stomach
distends, gastric rugae are stretched out
and flattened and are less visible
radiographically.

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Gastric rugae

No Labels

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Pneumogastrogram:
VD view

This ventrodorsal radiograph of a


dog with an air filled stomach shows
the relatively large rounded fundus
of the stomach, which lies to the left
of midline, and the more oblong
gastric body extending across the
mid-line to the right where the pyloric
canal connects the gastric antrum
with the duodenum. The duodenum
is the most lateral of the gas-filled
intestinal loops visible in this
radiograph.

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Right medial
lobe of liver

Cranial duodenal
flexure

Left lateral
lobe
Stomach;
antrum

Stomach; fundus
Right lobe of
pancreas

Descending
duodenum

Caudal
duodenal
flexure

Left lobe of
pancreas

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Sternum

Left medial lobe


Diaphragm
Quadrate
lobe
Xiphoid
process

Left lateral
lobe

Right medial
lobe
Stomach;
fundus

Left kidney
Right
kidney

Caudal
vena

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Stomach

Greater
omentum

Descending
duodenum

Enlarged
spleen

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Labels

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Liver

Caudal lobar
branches of
pulmonary
vessels
superimposed
on the liver
Gas in
gastric
fundus

Gas in duodenum
Gas in gastric
antrum

No Labels

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Pneumogastrogram:
Lateral view
For this radiograph a large bore
gastric tube has been passed
and the stomach inflated to
more clearly demonstrate its
size, position and shape.

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Serratus
dorsalis pars
cranialis

Serratus dorsalis pars


caudalis

External intercostal
m

Stomach; fundus

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Perirenal fat

Left lobe of pancreas

Cut edge of internal


abdominal oblique

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Serratus dorsalis pars


cranialis

Right lobe of
pancreas

Descending duodenum
Stomach; Left lateral lobe
antrum

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Labels

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Large bore
gastric
tube

Air filled gastric


body and fundus

Liver

No Labels

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The Kidneys and Ureters


Intra-venous Ureterogram (IVU): VD view
Nephrogram: VD view, DSA
Renal non-selective angiogram: VD view

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Intra-venous
Ureterogram (IVU):
VD view
This ventrodorsal radiograph was made several
minutes after injection of contrast medium into a
peripheral vein. Circulation of the contrast through
the heart and lungs is followed by systemic
distribution to all organs, including the kidneys.
The kidneys filter contrast and excrete it into the
renal pelvis and ureters which are visible clearly in
this instance. This procedure is called an
intravenous urogram (IVU). Opacification of the
renal collecting system, pelvis and ureters is also
known as a pyelogram. Note that the urinary
bladder has been filled with air
(pneumocystogram) to help identify it and to
improve visualisation of the ureters as they pass
over the urinary bladder in this view. Each ureter in
this dog passes in a caudal direction and then
makes an approximately 180 turn before draining
into the bladder. This is a completely normal
appearance.

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Medulla

Cortex

Renal artery

Arcuate aa

Renal vein

Renal sinus

Ureter

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Interlobular artery
Pelvis recess
Impression of renal crest
Interlobar artery

Ureter
Renal artery

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Vena cava

Aorta

Oesophagus

Quadrate lobe of
liver
Left medial
lobe of liver
Gall bladder

Left lateral
lobe of liver

Right medial lobe

Adrenal gland
Right kidney
Left kidney
Renal a&v
Caudal vena

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Renal pelvis

Ureter

Bladder

No Labels

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Nephrogram:
VD view, DSA
This radiograph was made in a similar
way to the renal non-selective
angiogram, but the technique of digital
subtraction has enabled other
abdominal structures not containing
contrast medium to be removed from
the image, leaving a particularly clear
depiction of the contrast within the
aorta and its various branches.
Contrast medium arriving in the
kidneys is quickly distributed evenly
through the cortex where it is filtered
by the glomerulus. Opacification of the
renal parenchyma is known as a
nephrogram.

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Medulla

Cortex

Renal artery

Arcuate aa

Renal vein

Renal sinus

Ureter

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Interlobular artery
Pelvis recess
Impression of renal crest
Interlobar artery

Ureter
Renal artery

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Vena cava

Aorta

Oesophagus

Quadrate lobe of
liver
Left medial
lobe of liver
Gall bladder

Left lateral
lobe of liver

Right medial lobe

Adrenal gland
Right kidney
Left kidney
Renal a&v
Caudal vena

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Celiac a
Cr. Mesenteric a

Interlobar aa
Renal aa

External iliac a
Internal iliac
a
Median sacral a

No Labels

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Renal non-selective
angiogram:
VD view
This radiograph was made
during injection of contrast
medium into the mid-abdominal
aorta via a catheter and shows
contrast predominantly filling the
renal arteries and the interlobar
arteries of the kidneys. In many
dogs, each kidney has two renal
arteries.

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Medulla

Cortex

Renal artery

Arcuate aa

Renal vein

Renal sinus

Ureter

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Interlobular artery
Pelvis recess
Impression of renal crest
Interlobar artery

Ureter
Renal artery

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Vena cava

Aorta

Oesophagus

Quadrate lobe of
liver
Left medial
lobe of liver
Gall bladder

Left lateral
lobe of liver

Right medial lobe

Adrenal gland
Right kidney
Left kidney
Renal a&v
Caudal vena

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Interlobar aa

Renal aa

Deep circumflex a

External iliac a
Internal iliac
a
Median sacral a

No Labels

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The Bladder and Urethra


Male Urethrogram: Lateral view
Bladder: Lateral view, Pelvic

Male Urethrogram:
Lateral view

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This radiograph was made during injection of contrast


medium into a urethral catheter and shows the contrast
within the penile and pelvic urethra, the bladder and a
small amount of contrast refluxing up one of the
ureters. Note the uniform calibre of the urethra as it
bends around the caudal aspect of the ischium before
becoming wider within the pelvis. An elongated gas
bubble is present in the caudal part of the pelvic
urethra and could be confused with a lesion.

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Bladde
r

Ureter

Slight dorsal
Preprostatic dip marks the
seminal
urethra

Penile
urethra

Isthmus
(narrowing of
lumen)

No Labels

Bladder:
Lateral view, Pelvic

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This radiograph of a small breed female dog shows


contrast medium (and a large air bubble) in the
vagina and uterus. The oblique filling defect in the
uterus dorsal to the bladder represents the site of
the cervix. In this dog the urinary bladder has a very
wide neck, which is located within the pelvis. Dogs
(male or female) with this conformation often have
urinary incontinence.
Note: Male dog used for photo,
female in radiograph!

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Spinal cord

Sacrum
Rectum

7 Lumbar vertebra
th

Urethra

Vestibule

Anus

Rectus abdominis m.

Bladder
Adductor m. Lips of vulva
Intervertebral disc
Symphyseal surface
of os coxae

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Vagin
a

Uterine horns

Bladder Cervix

Urethra
Bladder
neck

Pubis

Vestibule

No Labels

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The Reproductive System


Vaginogram: Lateral view, Oestrus
Uterus: Lateral view, Metoestrus
Prostate: Lateral view

Vaginogram:
Lateral view, Oestrus

Royal Veterinary College 2009

This radiograph was made by injection of


contrast medium into the vagina and urethra
of an entire female dog. Contrast opacifies
the urethra, bladder, vagina and the two
horns of the uterus, which are visible as
narrow coiled structures superimposed on
the craniodorsal aspect of the bladder. The
large diameter of the vagina and the open
cervix are compatible with oestrus.
Note: Male dog used for photo,
female in radiograph!

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Right ovary

Broad ligament

Right uterine horn

Cervix
Dorsomedian fold
continuing the
cervix

Bladder

Vagina

External urethral orifice


Vestibule
Clitoris

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L5

Uterine horns

Bladder

Cervix

Urethra

Vaginal fornix

Pubis

Vagin
a

Vestibule

No Labels

Uterus:
Lateral view, Metoestrus

Royal Veterinary College 2009

In this lateral abdominal radiograph


the uterus can be faintly seen as a
curved elongated, faintly lumpyappearing structure superimposed
over the bladder. This appearance is
normal, although the uterus in many
dogs is too small to be seen
radiographically.
Note: Male dog used for photo,
female in radiograph!

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Right ovary

Broad ligament

Right uterine horn

Cervix
Dorsomedian fold
continuing the
cervix

Bladder

Vagina

External urethral orifice


Vestibule
Clitoris

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L5

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Left
kidney

Faeces in
descendi
ng colon

Uterus

Bladder
Small
intestines
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Ventral abdominal
wall

No Labels

Prostate:
Lateral view

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In this radiograph of a male dog a rounded soft tissue structure is visible just
caudal to the bladder and ventral to the faeces-filled colon at the pelvic inlet.
This is the prostate. It is often difficult to see the prostate because it is usually
within the pelvis, so is obscured by the surrounding bones. In entire male dogs
the prostate gradually enlarges with increasing age and moves cranially so that
it becomes visible cranial to the pelvic inlet, as in this instance. Note the
triangular lucency that occupies the angle formed by the ventral abdominal
wall, the ventral wall of the bladder and the cranioventral aspect of the
prostate; this is abdominal fat and it is the fact that it is less opaque than soft
tissues that enables visualisation of the prostate.

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Rectum
Anus

Deferent
duct

Pelvic
urethra

Bladder

Prostate
gland

Retractor
penis m.

Bulbospongios
us m.

Body of penis

Ischiocavernosus m.
over left crus

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Anus
Urethra
Bulbospongios
us m.
Bladder
Right crus
Deferent
duct
(right)
Retracto
r penis
m.
Dorsal a. and v.
of penis
Spermatic cord
Testis (right)

Descending
colon

Ureter (right)

Kidney (left)
Testicular
vessels

Bulbus
glandis

Pars longa
glandis
Prepuce

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L5
Ilium
Hip joint
Femoral
head
Prostate

Fat
between
bladder
neck &
abdomin
al wall

Bladder

Ventral abdominal
wall

No Labels

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General Abdomen views


Abdominal Aortogram: Lateral view
Abdomen: Lateral view
Abdomen: VD view
Pup Abdomen: Lateral view

Abdominal Aortogram:
Lateral view

Royal Veterinary College 2009

This lateral radiograph was made


immediately after injection of
positive contrast medium into the
left ventricle and shows
opacification of the abdominal aorta
and its major branches.

Muscle layers
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Enlarged spleen

Descending
colon

Reflected
abdominal
muscles &
skin

Left lateral
lobe of liver

Greater
omentum

Caudal division of
cranial lobe of left
lung

Longissimus thoracic
Caudal m
Iliocostalis
lobe of left
m
lung

Royal Veterinary College 2009

Diaphrag
m

Left kidney
Stomach;
fundus
Pericaridal
fat
Left
ventricle
Left
auricle

Left medial
lobe

Left lateral
lobe

Stomach; body

Serratus
dorsalis pars
cranialis

Serratus dorsalis pars


caudalis

External intercostal
m

Stomach; fundus

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Perirenal fat

Left lobe of pancreas

Cut edge of internal


abdominal oblique

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Internal abdominal
oblique m

External abdominal oblique


m

Transverse abdominal m

External abdominal oblique


Internal abdominal m
oblique m

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Right kidney

Left
kidney

L4

Renal
aa

Aorta

Celiac
a

Internal iliac aa
Cr. Mesenteric
a

External iliac aa
Deep femoral aa

Small
intestines

Bladd
er

No Labels

Royal Veterinary College 2009

Abdomen: This is a typical lateral abdominal radiograph of a dog, in which the abdominal
viscera are visible but are difficult to discern because of superimposition and
Lateral
because of the similar opacity of the organs and surrounding tissues. The liver is
present on the cranioventral aspect of the abdomen between the stomach, which is
gas-filled, and the diaphragm. In this instance the caudal port of the liver extends
view
several centimetres caudal to the last ribs and some would interpret this as

enlarged. Just caudal to the liver is an oblong soft tissue structure that corresponds
to the tail of the spleen. Dorsal to this there are numerous loops of small intestine,
some containing gas which makes them easier to see, and others containing a
small amount of fluid. Dorsal to the small intestinal loops and bladder is the colon.
This is recognisable because of its speckled content, which represents faeces. The
kidneys are relatively difficult to see in many dogs and this is no exception. The left
kidney is present in the mid-dorsal abdomen from the level of L2 to L4. The right
kidney overlaps with the left and occupies the region from approximately T13 to L2.

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Enlarged spleen

Descending
colon

Reflected
abdominal
muscles &
skin

Left lateral
lobe of liver

Greater
omentum

Caudal division
of cranial lobe
of left lung

Longissimus
Caudal
thoracic m
lobe of left
Iliocostalis
lung
m

Royal Veterinary College 2009

Diaphrag
m

Left kidney
Stomach;
fundus
Pericarida
l fat

Left auricleLeft
ventricl

Left
medial

Left lateral
lobe

Stomach; body

Serratus
dorsalis pars
cranialis

Serratus dorsalis pars


caudalis

External intercostal
m

Stomach; fundus

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Perirenal fat

Left lobe of pancreas

Cut edge of internal


abdominal oblique

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Internal abdominal
oblique m

External
abdominal
oblique m

Transverse abdominal m

Internal abdominal
oblique m

External
abdominal
oblique m

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Gas in body of
stomach Right kidney Left
kidney

Caudal
extremity of
liver

L4

Tail
Small
end of intestines
spleen

Faeces in
descending
colon

Bladd
er

No Labels

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Abdomen:
VD view

This is the corresponding ventrodorsal view to the


previous lateral. Again it is difficult to discern the
individual abdominal organs in this typical dog. The
left kidney is visible from approximately L1 to L3 with
the elongated curvilinear spleen lateral to it and
overlapping its caudal pole. The right kidney is
virtually invisible. In this dog most of the small
intestine appears to lie to the right of midline; this is
not abnormal. The stomach is gas-filled, as it was in
the lateral view, and has a rounded fundus to the left
of midline and a narrower, more elongated body that
crosses the midline towards the antrum, which lies on
the right. The gas-filled piece of small intestine seen
superimposed over the right 12th and 13th ribs is
probably the duodenum, although its connection to
the stomach is not visible. An incidental finding in this
dog is the unusual left rib at T13, which is shorter and
thicker than the other ribs. This represents transitional
anatomy, having some of the features of a normal rib
and some of the features of a normal lumbar
transverse process. Transitional thoracolumbar
vertebrae or lumbosacral vertebrae are commonly
seen in dogs but are usually of no clinical significance.

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Vena cava

Aorta

Oesophagus

Quadrate lobe of
liver
Left medial
lobe of liver
Gall bladder

Left lateral
lobe of liver

Right medial lobe

Adrenal gland
Right kidney
Left kidney
Renal a&v
Caudal vena

Royal Veterinary College 2009

Right medial
lobe of liver

Cranial duodenal
flexure

Left lateral
lobe
Stomach;
antrum

Stomach; fundus
Right lobe of
pancreas

Descending
duodenum

Caudal
duodenal
flexure

Left lobe of
pancreas

Royal Veterinary College 2009

Sternum

Left medial lobe


Diaphragm
Quadrate
lobe
Xiphoid
process

Left lateral
lobe

Right medial
lobe
Stomach;
fundus

Left kidney
Right
kidney

Caudal
vena

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Stomach

Greater
omentum

Descending
duodenum

Enlarged
spleen

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Labels

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Gas filled
antrum of
stomach
Duodenum

Gas within fundus


of stomach
Transitional left
rib of T13
Body of spleen

Left kidney

Faeces within
descending colon
Vertebrae L5

No Labels

Royal Veterinary College 2009

Pup Abdomen: This lateral abdominal radiograph of a very young puppy shows
open growth plates in the vertebrae, the pelvis and distal femurs.
The abdomen has a virtually featureless, uniform opacity except for
Lateral view
a few gas shadows in the stomach and parts of the intestine. Other
abdominal organs are invisible. This is a normal appearance that
occurs because in neonatal puppies and kittens there is very little
abdominal fat, and in the absence of fat there is no contrast
(difference) between the opacity of the different abdominal
structures which therefore merge into one uniform grey.

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Physes

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Ilium

Pubis

Ischiu
m

Liver

No Labels

Royal Veterinary College 2009

The Spleen
Spleen: Lateral view

Spleen:
Lateral view

Royal Veterinary College 2009

A lateral abdominal radiograph shows the spleen having a more elongated


and shapely demarcated appearance than in the Abdomen: Lateral View
radiograph. The appearance of the spleen depends greatly on its position
in the abdomen and as it is somewhat mobile it can vary from dog to dog
and even from minute to minute. It is very easy to over-interpret the
appearance of the spleen because of these variations. Dorsal to the
spleen in the mid-abdomen there are a few small intestinal loops which
are non-dilated and dorsal to that there is gas outlining the large intestine
and caecum. The bladder occupies the caudoventral part of the abdomen
and has the large intestine and rectum draped over its dorsal aspect.

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Enlarged spleen

Descending
colon

Reflected
abdominal
muscles &
skin

Left lateral
lobe of liver

Greater
omentum

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Labels

Ascending
colon

Ventral
extremity of

Faeces within
descending colon

Non dilated
small

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Lumbar
vertebrae 5

Caecum

Bladder

No Labels

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The Liver
Liver: Portogram

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Liver:
Portogram

This ventrodorsal radiograph is made


immediately following injection of contrast
medium into a mesenteric vein at laparotomy.
Contrast within the vein flows cranially into the
hepatic portal vein and into the intrahepatic
branches of the portal vein. This is a normal
study.
In this image, the blood vessels appear as
black structures, which is the opposite of what
you might have been expecting based on
experience of other angiograms. This is a digital
subtraction angiogram in which the other parts
of the body such as the bones and the other
abdominal organs do not contribute to the
image, and the contrast medium appears as
black on a uniform grey background. This
technique makes it possible to see clearly the
tiny portal branches extending out into the
periphery of the liver.

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Intrahepatic
portalveins

Splenic
vein

Hepatic Portal
vein

No Labels

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The Spine

Cervical region

Lumbar region

Thoracic region

Sacral region
Coccygeal vertebrae

The Vertebrae;
Atlas

Axis

Cervical, thoracic & lumbar

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1= Dorsal Tubercle
2= Cranial articular fovea
3= Transverse process
4= Body
5= Dorsal arch
6= Arch
7= Caudal articular fovea
8= Odontoid process (fovea for
dens)
9= Ventral tubercle
10= Lateral vertebral foramen
11= Transverse foramen

1
5
3
4

Cranial aspect

1
6
10

11

Lateral aspect

ATLAS
3

6
7
8
9

Caudal
aspect

1=
2=
3=
4=
5=
6=
7=
8=
9=

Royal Veterinary College 2009

Transverse process
Body
Spinous process
Caudal articular process
Cranial articular process
Dens (Odontoid process)
Transverse canal
Body of axis
Arch

3
4
7

Cranial aspect

1
6
2

3
4

AXIS

10

Lateral
aspect

5
1

3
4
Caudal aspect
7
1

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Cranial
1

Cervical
v.

Lateral
1

1
1

Thoracic
v.

Lumbar

1= Spinous process
2= Body
3= Transverse process
4= Vertebral foramen
5= Lamina
6= Cranial articular
surface
7= Caudal articular
surface
8= Mamillary process
9= Caudal costal fovea
10= Cranial costal
fovea
11= Cranial articular
process
12= Caudal articular
process

4
3

Caudal

6
2 4
2

5
9

11
10

1
12

8
12
4
2

1
8

11

4
2

8
12

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Cervical region
Yorkshire Terrier cervical spine: Lateral view, neutral position
Yorkshire Terrier cervical spine: Lateral view, flexed position
Puppy cervical spine: Lateral view
Cervical spine survey: Lateral view
Cervical myelogram: Lateral view

Yorkshire Terrier cervical spine:


Lateral view, neutral position

Royal Veterinary College 2009

In small and toy breeds of dogs the vertebral canal is relatively wider than in large
breeds. This lateral radiograph of a Yorkshire terrier shows the wide gap between
the vertebral bodies and the corresponding dorsal laminae, which are projected
dorsal to the articular facets. C1 looks tall and narrow compared with its
appearance in large breed dogs.

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Atlas
Axis
3

6
3 3rd Ce
4
2

8
7

3 4th Ce

4
1= Lateral vertebral
foramen
2= Wing of atlas
3= Spinous processes
4= Transverse processes
5= Extended plate of
transverse process of Ce
6
6= Vertebral foramen
7= Cranial articular
process
8= Caudal articular
process

5th
Ce

3
4
4
5

Royal Veterinary College 2009

Labels

Dorsal
tubercle of
atlas (C1)

Tympanic Ventral
bulla
tubercle
of atlas

Spinous
process
of axis
(C2)

Dorsal &
ventral
borders of
vertebral
canal

Transvese process
(wings) of atlasEndotracheal
tube within

Caudal
articular
process of
C3

Intervertebral
foramen
between C4
&C5

Royal Veterinary College 2009

Cranial articular
process of C4

Intervertebral Extended plate of


disc space
transverse proces
between C4
of C6
&C5

No Labels

Yorkshire Terrier cervical spine:


Lateral view, flexed position

Royal Veterinary College 2009

Another radiograph of the same


Yorkshire terrier made with the head
ventroflexed shows that flexion
occurs at the occipitoatlantal joint
(yes joint) but not at the
atlantoaxial joint (no joint). This
appearance is normal. In dogs
suspected of having atlantoaxial
subluxation, abnormal displacement
of C1 may occur when the neck is
manipulated, typically producing a
widened gap between C1 and C2 in
a ventroflexed lateral radiograph like
this.

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Atlas
Axis
3

6
3 3rd Ce
4
2

8
7

3 4th Ce

4
1= Lateral vertebral
foramen
2= Wing of atlas
3= Spinous processes
4= Transverse processes
5= Extended plate of
transverse process of Ce
6
6= Vertebral foramen
7= Cranial articular
process
8= Caudal articular
process

5th
Ce

3
4
4
5

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Labels

External
occiptal
protruberan
ce
Dorsal
tubercle of
atlas (C1)

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Spinous
process
of axis
(C2)

Atlanto occipital
condyle

Tympanic
bullae

Transverse
process
(wings) of
atlas

Endotrache
al tube
within
trachea

No Labels

Royal Veterinary College 2009

Puppy cervical spine:


Lateral view

Just as in the limb bones, open physes are normally visible in the vertebral bodies
in dogs less than 9 months old. Each vertebral body (except C1) has two physes.

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Atlas
Axis
3

6
3 3rd Ce
4
2

8
7

3 4th Ce

4
1= Lateral vertebral
foramen
2= Wing of atlas
3= Spinous processes
4= Transverse processes
5= Extended plate of
transverse process of Ce
6
6= Vertebral foramen
7= Cranial articular
process
8= Caudal articular
process

5th
Ce

3
4
4
5

Royal Veterinary College 2009

Labels

Atlas
(cervical
vertebrae
1)

Endotracheal
tube within
trachea

Spinous
process
of axis
(C2)

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Dorsal &
ventral
borders of
vertebral
canal

Open
physes of
C3

Dorsal spinous
process of C7

Intervertebral
disc space
between C4
&C5

No Labels

Royal Veterinary College 2009

Cervical spine survey:


Lateral view

This lateral radiograph of the cervical spine shows the normal features of the 7
cervical vertebrae. C2 (axis) is the easiest to recognise because of its large dorsal
spine. Immediately cranial to it is the spineless dorsal lamina of C1 (atlas). The
wings of the atlas are superimposed over the cranial aspect of the body of C2. The
cervical vertebrae are well aligned and the intervertebral spaces are regular in width.
C6 is recognisable because of the large bent transverse processes, which project
ventral to the vertebral body in a lateral radiograph.

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Atlas
Axis
3

6
3 3rd Ce
4
2

8
7

3 4th Ce

4
1= Lateral vertebral
foramen
2= Wing of atlas
3= Spinous processes
4= Transverse processes
5= Extended plate of
transverse process of Ce
6
6= Vertebral foramen
7= Cranial articular
process
8= Caudal articular
process

5th
Ce

3
4
4
5

Royal Veterinary College 2009

Labels

Dorsal
tubercle

Lateral
vertebr
Spinous
al
forame process
of axis
n
(C2)

Dorsal &
ventral
borders of
vertebral Caudal
canal
articular
process of
C3

Royal Veterinary College 2009

Cranial
articular
process of
C4

Dorsal spinous
process of C7

Atlas
(cervical
vertebrae
1)

Ventral
tubercle
of atlas
Occipital
condyle
Tympanic
bulla
Stylohyoid bone

Transvese
process
axis (C2)

Intervertebr
al foramina
between C4
&C5

Intervertebral
disc space
between C4
&C5

Cr. & Cd.


Transvese process
Transverse
(wings) of atlas processes
Endotracheal tube
within trachea

Extended plate of
transverse process
of C6

No Labels

Royal Veterinary College 2009

Cervical myelogram:
Lateral view

Injection of contrast medium into the subarachnoid space of the same dog as in the
cervical spine survey image outlines the spinal cord, which is now visible as a lucent
space between the two thin contrast lines. The ventral contrast line bends slightly
dorsal above the intervertebral spaces, most noticeable at C2-3 and C6-7; this
appearance is normal.

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Atlas
Axis
3

6
3 3rd Ce
4
2

8
7

3 4th Ce

4
1= Lateral vertebral
foramen
2= Wing of atlas
3= Spinous processes
4= Transverse processes
5= Extended plate of
transverse process of Ce
6
6= Vertebral foramen
7= Cranial articular
process
8= Caudal articular
process

5th
Ce

3
4
4
5

Royal Veterinary College 2009

Labels

Atlas
(cervical
vertebrae
1)

Spinous
process
of axis
(C2)

Dorsal &
ventral
borders of
vertebral
canal

Transvese
process
axis (C2)
Endotracheal
tube within

Transvese process
(wings) of atlas

Royal Veterinary College 2009

Contrast media
within subarachnoid
space

Intervertebral
disc space
between C4
&C5

Dorsal spinous
process of C7

Extended plate of
transverse process
of C6

No Labels

Royal Veterinary College 2009

Thoracic region
Thoraco-lumbar myelogram: Lateral view, large dog
Thoraco-lumbar spondylosis: Lateral view

Royal Veterinary College 2009

Thoraco-lumbar myelogram:
Lateral view, large dog

The thoracolumbar region (T11-L2) is a frequent site of disc prolapse in dogs. This
radiograph show the normal appearance of a thoracolumbar myelogram in a large
breed dog. The contrast lines are regular and gently curved, with no sign of
deviation over the intervertebral spaces. It is normal for the dorsal contrast line to be
thicker than the ventral. This radiograph is slightly oblique - as you can see from the
lack of superimposition of the ribs (ribs on one side projected dorsal to contralateral
ribs) - but this is not a major problem; in a perfect lateral both sets of ribs may be
superimposed over the myelogram, making it hard to see clearly. It is sometimes
easier to see the myelogram in a slightly oblique radiograph like this.

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Tubercle

Hea
d

Caudal articular
process

Neck Angle

Spinous
process

Body

Vertebr
al body

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Labels

Caudal articular
process

Cranial articular
process

Dorsal & ventral


borders of
vertebral
foramen

Thoracic
vertebrae
13

Dorsal spinous
process

Contrast medium
within the
subarachnoid space

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Intervertebr
al foramina

Transverse
process of
L3

No Labels

Royal Veterinary College 2009

Thoraco-lumbar spondylosis:
Lateral view

In middle aged or old dogs (and cats), exostoses are frequently observed arising
from the ventral and lateral aspects of the vertebral bodies adjacent to the endplates. These exostoses can be quite large and pointed and extend ventral to the
intervertebral space, sometimes bridging the space with solid bone. This condition is
called spondylosis deformans. It is not a cause of clinical signs.

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Labels

Caudal articular
process

Thoracic
vertebrae

Cranial articular
process

Exostoses

Dorsal spinous
process

Transverse
process of
L3

Royal Veterinary College 2009

Intervertebral
foramina

Dorsal & ventral


borders of
vertebral

No Labels

Royal Veterinary College 2009

Lumbar region
Lumbar spine: Lateral view
Lumbar myelogram: Lateral view
Lumbar epidurogram: Lateral view

Royal Veterinary College 2009

Lumbar spine:
Lateral view

This lateral radiograph of the lumbar spine shows the normal features of the 7
lumbar vertebrae, which are well aligned and the intervertebral spaces are
regular in width. L7 is often a bit shorter than the others, although that is not very
noticeable in this dog.

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Mamillary Accessory
process process

Transverse
process

Spinous process

Vertebral body

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Labels

Royal Veterinary College 2009

Caudal articular Cranial articular


process
process

1st
Lumbar
vertebra
e

Dorsal spinous
process

Vertebral body Transverse


process of
L4

Intervertebral
foramina

Dorsal &
ventral
borders of
vertebral
foramen

Wings of
the ilium

L7

Sacrum

No Labels

Royal Veterinary College 2009

Lumbar myelogram:
Lateral view

This lumbar myelogram shows the very regular, almost straight, contrast
lines that we see in large breed dogs. Note that the ventral contrast line
goes over each intervertebral space (i.e. over each disc) without any dorsal
deviation. Also note the gradually tapered thecal sac, which contains the
cauda equina. In this dog it terminates at the cranial aspect of the sacrum.

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Mamillary Accessory
process process

Transverse
process

Spinous process

Vertebral body

Royal Veterinary College 2009

Labels

Royal Veterinary College 2009

Caudal articular Cranial articular


process
process

1st
Lumbar
vertebra
e

Vertebral body

Dorsal spinous
process

Transverse
process of
L4

Contrast medium
within the
subarachnoid space

Dorsal &
ventral
borders of
vertebral
foramen

Wings of
the ilium

Sacrum

No Labels

Royal Veterinary College 2009

Lumbar epidurogram:
Lateral view

A myelogram is a radiograph made after contrast medium has been injected into the
subarachnoid space. To do this a needle is inserted through the dura, the thick outer layer of
the meninges. Sometimes it is difficult to place the needle accurately, and if the tip fails to
penetrate the dura there is the possibility that injected contrast will be deposited in the tissues
around the dura instead (i.e. in the epidural space). This lateral radiograph of the lumbar spine
shows epidural deposition of contrast medium. Compared to a myelogram, the contrast has
an uneven wavy appearance with focal accumulations at each of the intervertebral foramina
because epidural contrast ends to spread along the spinal nerves. An epidurogram is not as
satisfactory for diagnosis as a myelogram.

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Mamillary Accessory
process process

Transverse
process

Spinous process

Vertebral body

Royal Veterinary College 2009

Labels

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Caudal articular Cranial articular


process
process

1st
Lumbar
vertebra
e

Vertebral body

Dorsal spinous
process

Transverse
process

Intervertebral
foramina

Dorsal &
ventral
borders of
vertebral
foramen

Contrast medium
within the epidural
space

No Labels

Royal Veterinary College 2009

Sacral region
Thecal sac myelogram: VD view, normal appearance
Thecal sac myelogram: Lateral view, normal appearance
Lumbosacral joint: Lateral view

Royal Veterinary College 2009

Thecal sac myelogram:


VD view,
normal appearance
This is a ventrodorsal radiograph of the
lumbosacral region of a dog. What surgical
procedure has been performed on this dog?

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Lumbar
vertebrae
7

Cranial
ventral iliac
spine
Lumbosacra
l joint
Body of ilium

Faeces in
rectum
1st caudal
vertebrae

Hip joints
Hip prosthesis

Hip prosthesis

No Labels

Thecal sac myelogram:


Lateral view, normal appearance

Royal Veterinary College 2009

In large breed dogs, the thecal sac is frequently wide in the lumbosacral region period. In this
instance it has a blunted termination well within the sacrum. This is a normal anatomical
variation.

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Dura mater & arachnoid


mater: the thecal sac.

Cranial dorsal
iliac spine

Iliac
crest

Lumbar
vertebrae
7

1st caudal
vertebrae

Body of ilium

No Labels

Lumbosacral joint:
Lateral view

Royal Veterinary College 2009

This lateral radiograph shows the lumbosacral joint


in a large dog. Note that in a lateral radiograph the
lumbosacral joint and L7 must be viewed through
the wings of the ilium This is a common site of disc
disease. This dog has spondylosis at the
lumbosacral joint.

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Royal Veterinary College 2009

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Cranial dorsal
iliac spine
Iliac
crest

Lumbar
vertebrae
7

Sacru
m

End plates of L7 and sacrum

No Labels

Royal Veterinary College 2009

Coccygeal vertebrae
Screw-tail: Lateral view
Tail: Lateral view

Royal Veterinary College 2009

Screw-tail:
Lateral view

Congenital anomalies affecting the vertebrae are common in brachycephalic breeds such as
the bulldog and pug. This lateral radiograph shows a short, bent tail in an English bulldog.
This malformation is known as a screw tail.

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Short,
bent
screw tail

Body of
ilium

Hip joint

No Labels

Tail:
Lateral view

Royal Veterinary College 2009

This lateral radiograph of the pelvis includes the


sacrum and first few caudal vertebrae. The remainder
of the tail is thin and hence overexposed in this
radiograph. The vertebral canal through the lumbar
vertebrae, sacrum and tail is fairly straight.

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Royal Veterinary College 2009

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Iliac
crest

Cranial dorsalCaudal
iliac spine
dorsal iliac
spine

Royal Veterinary College 2009

1st caudal
vertebrae

Lumbar
vertebrae
7
Cranial

Faeces in
rectum
Lesser
ischiatic notch

ventral iliac
spine
Body of ilium

Ischiatic
tuberosity
Obturator
foramen

Hip joints

Head of femur

Femur

Pubi
s

No Labels

Royal Veterinary College 2009

What do I need to
know?
Pre-clinical students:
This is a reference resource for you to use to improve your gross anatomical
knowledge whilst becoming familiar with normal radiographic anatomy.
Each image is labelled in great detail; each detail is NOT ESSENTIAL knowledge.
This resource is designed as a comprehensible reference tool.
Clinical students:
This programme is designed to allow you to familiarise yourself with normal
radiographic anatomy whilst providing you with a chance to revise and integrate
your anatomical knowledge. Each radiograph is accompanied by informative text
and an image of the animal in position for that radiograph to help you understand
how the picture was taken. It is designed for you to use throughout your IMR,
EMS and revision.

Royal Veterinary College 2009

Useful resources
1. Useful background knowledge for pre-clinical students.
2. Clinical skills Digital imaging skill sheets and videos.
BLE > Clinical skills centre > further resources

Royal Veterinary College 2009

Credits
Created by:

C Lamb, L White, C Trace, S Frean and D Kilroy


eMedia Unit
Royal Veterinary College
Royal College Street
London
UK
NW1 0TU

Last update 9/12/09

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