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CT Diagnostics

Nasal & Sinus Disorders in Dogs & Cats

Chronic sneezing, nasal discharge, or difficulty breathing can signal conditions ranging from stubborn infections to nasal tumors. Because the nasal passages and sinuses are surrounded by thin bone and air-filled spaces, standard X-rays often lack the detail needed for a definitive diagnosis.

At Sage Veterinary Imaging (SVI), our 128-slice CT scanner produces high-resolution cross-sectional images of the nasal cavity, sinuses, and surrounding structures — giving your veterinarian a clear view of what's happening inside. CT is widely considered the imaging modality of choice for nasal and sinus disease in dogs and cats, revealing the location, extent, and nature of the problem with precision that guides effective treatment.

SVI offers advanced CT imaging at our centers in Round Rock, Texas; Spring, Texas; and Sandy, Utah.

Common Nasal & Sinus Problems We Diagnose

Nasal and sinus conditions in dogs and cats can be frustrating to diagnose with physical exams alone. Many share overlapping symptoms — sneezing, discharge, facial swelling — but require very different treatments. Below are the conditions our team most often helps identify with CT imaging.

Nasal & Sinus Tumors

Adenocarcinoma Squamous cell carcinoma Chondrosarcoma Lymphoma

Nasal tumors account for a significant portion of chronic nasal disease in dogs, particularly in older, medium-to-large breed dogs. Symptoms often mimic infections — unilateral nasal discharge, sneezing, and occasional nosebleeds — and may progress slowly. CT imaging reveals the size, location, and extent of the mass, including whether it has invaded bone or extended into the brain. This information is essential for staging, radiation therapy planning, and determining prognosis.

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Fungal Infections (Aspergillosis)

Sinonasal aspergillosis Sino-orbital aspergillosis Cryptococcosis (cats)

Aspergillosis is one of the most common fungal infections affecting the nasal passages of dogs, particularly dolichocephalic (long-nosed) breeds. It causes destruction of the nasal turbinates — the delicate scroll-like bones inside the nose — and produces profuse, often bloody, unilateral nasal discharge. CT is the diagnostic gold standard because it clearly shows turbinate destruction, fungal plaque accumulation, and frontal sinus involvement, all of which guide treatment decisions including topical antifungal infusion therapy.

Learn more about fungal rhinitis →

Chronic Rhinitis & Inflammatory Disease

Lymphoplasmacytic rhinitis Allergic rhinitis Idiopathic chronic rhinitis

When sneezing and nasal discharge persist for weeks or months without a clear cause, chronic inflammatory rhinitis is often to blame. While this is largely a diagnosis of exclusion, CT plays a critical role by ruling out tumors, fungal infections, and foreign bodies — all of which can mimic chronic rhinitis. CT also reveals the pattern and distribution of mucosal thickening and turbinate changes, helping veterinarians narrow their differential and decide whether rhinoscopy or biopsy is needed.

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Nasal Foreign Bodies

Grass awns Plant material Foxtails Inhaled debris

Dogs that suddenly develop violent sneezing, pawing at their nose, or acute unilateral nasal discharge may have inhaled a foreign object. Grass awns and foxtails are common culprits, especially in outdoor and sporting dogs. While small foreign bodies can be difficult to visualize directly, CT imaging can reveal secondary signs such as localized soft-tissue swelling, focal turbinate disruption, or trapped fluid that pinpoints the location and helps guide rhinoscopic retrieval.

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Frontal Sinus Disease

Sinus mucocele Frontal sinusitis Sinus fluid accumulation

The frontal sinuses sit above the eyes and connect to the nasal passages through small openings. When these openings become blocked by inflammation, infection, or masses, fluid accumulates and pressure builds. Pets may show facial swelling, pain over the forehead, or worsening nasal signs. CT provides a detailed view of the sinus architecture, the nature and extent of fluid or soft-tissue filling, and whether the sinus walls have been compromised, all of which guide surgical or medical management.

Learn more about frontal sinus disease →

Breeds Commonly Affected

Nasal and sinus conditions affect all breeds, but certain breeds carry higher risk. Dolichocephalic (long-nosed) breeds like German Shepherds, Collies, and Greyhounds are predisposed to nasal aspergillosis. Nasal tumors are more common in medium-to-large breeds such as Labrador Retrievers, Golden Retrievers, and Airedale Terriers, and typically affect dogs over 8 years of age. Brachycephalic breeds (Pugs, Bulldogs, Persians) have unique nasal anatomy that makes airflow-related issues and secondary infections more common.

How CT Imaging Helps

CT is the imaging modality of choice for nasal and sinus disease because it provides exquisite bone detail and clear visualization of air-filled spaces — two things that X-rays and MRI handle less effectively in this region. Our 128-slice CT scanner captures the entire nasal cavity in seconds, producing sub-millimeter cross-sectional images that your veterinarian can use to see exactly what's going on.

Each study is reviewed by our board-certified veterinary radiologists, who provide a detailed report and work directly with your veterinarian to plan the most appropriate next steps — whether that's rhinoscopy, biopsy, antifungal treatment, surgery, or radiation therapy.

What to Expect During Your Visit

Nasal CT scans are fast — the actual image acquisition typically takes less than 5 minutes. Your pet will be placed under brief general anesthesia to ensure they remain still and positioned correctly. The entire visit, including preparation, scan, and recovery, usually takes about an hour. Most pets are ready to go home the same day.

Results are interpreted by a board-certified veterinary radiologist, and your veterinarian typically receives a detailed report the same day, often within hours.

Learn more about veterinary CT at Sage →

Why Choose Sage Veterinary Imaging

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Board-certified veterinary radiologists experienced in nasal and sinus CT interpretation
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128-slice CT scanner producing high-resolution images with sub-millimeter detail of bone and soft tissue
Same-day report turnaround and collaborative case discussion with your veterinarian
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~20% lower cost than other advanced imaging providers through our outpatient imaging model
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Three convenient locations in Round Rock TX, Spring TX, and Sandy UT

Get Answers for Your Pet

If your pet has chronic sneezing, nasal discharge, nosebleeds, or facial swelling that hasn't resolved with initial treatment, advanced CT imaging can reveal what's really going on and help your veterinarian plan the most effective approach.

Schedule a Diagnostic CT Scan

Visit one of our three locations to learn more and schedule your pet's imaging study. Our team will work directly with your veterinarian to ensure the right study is performed.

Round Rock
Austin, Texas Area
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Spring
Houston, Texas Area
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Sandy
Salt Lake City, Utah Area
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Nasal & Sinus Imaging FAQ

The nasal cavity is a complex, three-dimensional structure filled with thin bones (turbinates) and air spaces. Standard X-rays superimpose all of these structures into a flat image, making it nearly impossible to distinguish tumors from infections or to determine the exact location and extent of disease. CT produces detailed cross-sectional images that show each layer individually, revealing turbinate destruction, bone invasion, fluid accumulation, and mass location with far greater precision.
Early signs often include unilateral (one-sided) nasal discharge that may be mucoid, purulent, or bloody. As the tumor progresses, you may notice intermittent nosebleeds, sneezing, noisy breathing, facial deformity or swelling over the bridge of the nose, and in advanced cases, neurological signs if the tumor extends into the brain. Because many of these symptoms overlap with infections, CT imaging is critical for distinguishing between the two and guiding biopsy or treatment planning.
Diagnosis typically involves a combination of CT imaging, rhinoscopy (direct visualization of the nasal passages), and fungal culture or biopsy. CT is considered the most reliable initial diagnostic step because it reveals the characteristic pattern of turbinate destruction and fungal plaque accumulation within the nasal cavity and frontal sinuses. This guides the rhinoscopy procedure and helps determine whether topical antifungal infusion is an appropriate treatment option.
The actual CT scan takes less than 5 minutes. Including preparation, anesthesia, and recovery, the entire visit typically takes about an hour. CT is significantly faster than MRI, which makes it ideal for patients who benefit from shorter anesthesia times. Your pet will be monitored throughout the procedure and during recovery.
In many cases, yes. Nasal tumors and fungal infections often produce distinctly different patterns on CT. Tumors typically appear as soft-tissue masses that destroy bone in a specific pattern, while aspergillosis tends to cause more diffuse turbinate destruction with characteristic fungal plaques visible in the nasal cavity. However, some cases can overlap in appearance, which is why CT findings are often combined with rhinoscopy and biopsy for a definitive diagnosis.
Chronic nasal discharge in cats that doesn't respond to standard treatments may warrant CT imaging. Common causes include chronic rhinosinusitis, nasopharyngeal polyps, nasal tumors (lymphoma is the most common nasal tumor in cats), and fungal infections like cryptococcosis. CT can help distinguish between these conditions, determine whether surgery is needed, and guide treatment planning. Your veterinarian can advise whether CT is the right next step based on your cat's clinical history.

Ready to Get Answers?

Advanced CT imaging can reveal the cause of your pet's nasal symptoms and help your veterinarian plan targeted treatment. Visit one of our locations to get started.

Round Rock
Austin, Texas Area
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Spring
Houston, Texas Area
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Sandy
Salt Lake City, Utah Area
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