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All candidates identified an abnormality of the duodenum. Many candidates failed to recognize that the lesion was mural and diagnosed a foreign body. Several candidates did not recognize that the right cranial quadrant was abnormal outside the duodenum and/or did not identify regional peritonitis. Unsuccessful candidates identified multiple lesions in the bowel leading to a diagnosis of infiltrative disease throughout the jejunum. Several candidates listed neoplasia as their only differential despite the signalment and history of the dog.
©2013 American College of Veterinary Radiology