CT Scan

We now offer powerful

CT Scan Diagnostic Imaging

in our Cincinnati office!

Referral Form

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CT Scan Diagnostic Imaging in Cincinnati, OH

Although we predominantly use our Neusoft NeuViz 16 Multi-Slice CT machine for nasal, orbital, and central nervous system diagnostics, we are happy to use it on any aspect of the patient in order to help our community of veterinarians!

The Process for Referral CT Scans

  •  Fill out the CT Scan Referral Form.

  • Please have a complete blood count and biochemical profile performed within 30 days of the scan.

    • If you would like us to run the bloodwork the morning of the scan, we are happy to do so!

  • Have the client call us to schedule a CT scan.

    • We have the client drop the patient off at 8am and they are typically ready to go home by 12pm.

  • The day of the CT scan​

    • We perform the scan under sedation, and the scan itself takes about 15 minutes.

    • The scan is submitted to IDEXX where a board-certified radiologist will read the scan.  We typically have the report returned to us within 72 hours.

    • We will then fax/email the report to you so you can call the client and inform them how you would like to proceed with care. Therefore, we have minimal involvement in the management of the case and this allows you to direct care on any aspect of the body not related to the eye.

  • The cost for the sedation, scan, and IDEXX report is $1000. 

Case Studies

Buster

Buster is a 10-year-old Boxer that presented for asymmetry of the head.


CT Results:

In the region of the right trigeminal canal and oval foramen, a soft tissue contrast enhancing mass is present. Asymmetry of the head is related to the atrophy of the muscles of mastication. This is seen in association with a contrast-enhancing mass in the region of the right trigeminal nerve.

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Elvira

Elvira is a 10-month-old cat that presented for a left sided head tilt and mild ataxia.


CT Results:

The left ear bulla margin is thick with internal contents consistent with an inner ear infection. Bulla osteitis is present. Elvira was referred back to her primary veterinarian for a cytology and culture of her inner ear infection and appropriate treatment.

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Jack

Jack is a 4-year-old Terrier that has had a head tilt for several weeks. Neurologically he was not acting normal. He was initially on antibiotics which did not help and steroids for a little while which did help.


CT Results:

There are numerous contrast-enhancing nodules throughout the cerebellum. There is
mild dilation of the 3rd and lateral ventricles secondary to compression of the 4th ventricle associated with the numerous cerebellar nodules. These lesions are most consistent with mineralized granulomas. Fungal or parasitic disease is suspected. Jack was referred back to his primary veterinarian for further work-up of fungal and parasitic disease.

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Marmalade

Frankie is a 10-year-old cat with a large, firm, immobile growth on the right mandible.


CT Results:

The alveolar bone is generally irregular. Associated with the right mandible, from the level of the socket or the right mandibular canine tooth to the level of the ramus and adjacent to the mandibular condyle a mass lesion is present. The appearance of the right mandibular lesion and an older patient raises high concern for an invasive neoplasm such as a squamous cell carcinoma. Frankie was referred back to his primary veterinarian for a surgical biopsy and potential to see an oncologist.

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Marmalade

Marmalade is a six-year-old female spayed domestic longhair cat. A month prior to presentation, Marmalade was treated for an upper respiratory infection that did not resolve. Over the past two weeks, her left eye seemed to be swelling.

 

CT Results:

The left nasal cavity is filled with a markedly contrast enhancing mass filling the mid and caudal nasal cavity, causing osteolysis of the left orbital plate and extending into the left orbit as a broad-based contrast enhancing mass. The mass extends across the caudal bony nasal septum as a contrast enhancing lesion within the causal right nasal cavity. The mass causes osteolysis of the bilateral ventral cribriform plate extending intracranially as a broad-based extra-axial mass. The intracranial mass causes marked mass effect, midline shift to the right with intra-axial perilesional hypodensity consistent with edema.

CT Scan

Butters

Butters is a 7-year-old neutered male domestic shorthair cat that presented for facial nerve paralysis of his right eye. Butters was previously seen by a neurologist who prescribed a course of Baytril, Clavamox, Clindaymcin, and Prednisolone with no improvement.

 

CT Results:

There is what appears to be an infectious etiology associated with the right tympanic bulla and horizontal ear canal extending into the regional soft tissues. It is possible that this is a neoplastic lesion or neoplasm with abscess. Biopsy and culture are recommended for definitive diagnosis. The lesion is associated with the right tympanic bulla surrounding the stylomastoid foramen and is likely affecting the facial nerve.

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Spec

Spec is a 9-month-old male neutered Border Collie that presented with severe mucoid discharge from the right eye. He has been treated with topical neopolydex and oral cephalexin with no improvement. Initially, Spec was sedated and a nasolacrimal irrigation was performed. Purulent discharge was irrigated from the nasolacrimal duct.

 

CT Results:

There is bone expansion of the right nasolacrimal duct with communication between the focal dilation and the nasolacrimal injection. A prior infection in this region with expansile lysis is possible to account for the size. A ruptured nasolacrimal cyst could also account for the communication of the contrast material with this focal dilation.

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Rory

Rory is an 11-year-old Boxer that presented for acute blindness. He was initially prescribed prednisone, which helped him see, but then he went blind again shortly thereafter. An electroretinogram was initially performed which showed normal retinal activity.

CT Results:

The left mid and caudal nasal cavity has a ventral, heterogeneously contrast-enhancing soft tissue density mass. The rostral extent of the mass is within the left ventral nasal cavity. The mass fills the left choana and the majority of the left maxillary recess. The mass bulges into the rostral left nasopharynx. The mass causes left orbital plate osteolysis. The mass causes extensive osteolysis of the left and bilateral ventral cribriform plate and extensive osteolysis of the pre-sphenoid bone. The mass has intracranial extension as a peripherally contrast-enhancing, centrally poorly contrast-enhancing mass affecting the bilateral olfactory lobes and ventral frontal lobes extending to the presumed level of the optic chiasm and causing widening and patchy osteolysis of the bilateral optic canals.

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Skylar

Skylar is an 8-year-old female spayed Pitbull that presented with decreased vision and dilated pupils for the past month. Skylar initially was prescribed prednisone which showed no improvement. An electroretinogram was performed which showed normal retinal activity.

 

CT Results:

There is a moderately contrast medium enhancing mass in the ventral cranial cavity, for which the primary differential is a meningioma. The Shape and slightly rostral location are less typical of a pituitary macroadenoma, but this cannot be entirely ruled out. A granuloma and intra-axial neoplasm are less likely. Secondary extra-axial compression of the hypothalamus and presumably, the optic chiasm, is evident and worse on the right. This lesion is considered to be responsible for the patient’s blindness. There is no evidence of foraminal/orbital extension.

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