So my husband tonight decided he wants to make me feel even more UNcomfortable and questioned my decision of the Amputation of Bogis front leg for tomorrow 6/26.   The vet I had seen first called and said i should do a fine needle aspirate now to confirm OSA but I have talked to 4 vets and they all say it SOUNDS like OSA but of course no one can confirm unless I amputate and biopsy or do bone biopsy prior. I already postponed Amputation once I don't want to keep "wasting time". Any last thoughts for me for tomorrows amputation based on the report below?

5/28/2013

Images Provided:  Forelimbs Multiple lateral and caudocranial projections to include the shoulders, elbows and portions of the thorax and spine dated 05/28/13.

Findings:  An approximately 1.0 cm diameter discrete ovoid mineral focus is noted at the right bicipital groove.  On lateral projections of the right humerus, with the shoulder extended cranioventrally, avoiding summation with adjacent soft tissues, variably sized and shaped poorly demarcated lucencies with regions of sclerosis are noted within the right proximal humeral metaphysis.  A subtle linear mineral opacity parallels the caudal cortex of the right proximal humeral metaphysis.  There is no visible pathologic fracture nor definitive cortical destruction.  There are no visible pulmonary nodules on portions of the thorax included.  The remainder of the exam is unremarkable.

Impression:  Calcifying tendinopathy, right bicipital tendon.  Probable aggressive lesion, right proximal humerus.  Computed tomography of the shoulders/humeri is suggested in further assessment of this finding, as well as for guidance of possible fine needle aspiration and/or biopsy.  Given these changes and the possibility of neoplasia, thoracic radiographs are recommended.

WG/ljj

Thorax Right lateral, left lateral and ventrodorsal projections dated 05.28.13 were provided.

Findings: An endotracheal tube is in place and the cranial subsegment of the left cranial lung lobe is underinflated. Similar but less prominent changes are noted at the left caudal lung lobe.  Mild diffuse bronchial and interstitial pulmonary changes are noted. There are no definitive pulmonary nodules or intrathoracic lymphadenopathy. Spondylosis deformans is noted at the cranial lumbar spine. Increased extrathoracic fat is noted. Cardiovascular structures and the remainder of the exam are unremarkable.

Impression:  No definitive pulmonary nodules or intrathoracic lymphadenopathy. Mild diffuse non specific pulmonary changes possibly due to current or prior lower airway disease and likely influenced by body stature. Left sided pulmonary changes likely due recumbent atelectasis during anesthesia.  Degenerative changes, cranial lumbar spine.

WG

6/12/2013

Images: Right Shoulder Lateral and caudocranial projections dated 06.12.13 are compared with an exam dated 05.28.13.

Findings: The previously noted lucencies persist at the proximal humeral metaphysis and some appear more prominent. A subtle increase in periosteal reaction is noted at the adjacent caudal humeral cortex. There is no visible associated pathologic fracture. The previously noted mineral focus at the bicipital groove appears similar to the previous exam. There are no visible pulmonary nodules on portions of the thorax visible.

Impression: Subtle progression, aggressive lesion, right proximal humerus. No definitive pathologic fracture. Static appearing bicipital mineralization.

WG