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BSAVA Manual of
BSAVA Manual of Canine and Feline Abdominal Imaging
Edited by
Robert O’Brien
and Frances Barr
Robert O’Brien
DVM MS Dip.ACVR
Department of Veterinary Clinical Medicine,
University of Illinois at Urbana-Champaign,
1008 West Hazelwood Drive, Urbana,
IL 61802, USA
and
Frances Barr
MA VetMB PhD DVR Dip.ECVDI MRCVS
Department of Clinical Veterinary Science,
University of Bristol, Langford House,
Langford, Bristol BS40 5DU, UK
Published by:
Illustrations 7.1, 9.5, 9.6, 10.4, 10.31, 12.1 and 13.1 were drawn
by S.J. Elmhurst BA Hons (www.livingart.org.uk) and are printed with
her permission.
A catalogue record for this book is available from the British Library.
For information on these and all BSAVA publications please visit our website: www.bsava.com
ii
List of contributors v
Foreword vii
Preface viii
2 Abdominal radiography 5
J. Fraser McConnell
3 Abdominal ultrasonography 18
Juliette Besso
5 The retroperitoneum 40
Francisco Llabrés-Díaz
6 Abdominal vessels 49
Francisco Llabrés-Díaz
8 Abdominal masses 76
Nicolette Hayward
9 The stomach 87
Gabriela Seiler and Wilfried Maï
iii
Index 246
iv
vi
This huge increase in material represents not only advances in knowledge, but
also the progress in technology which permits rapid and detailed reproduction
of digital images. The introduction of ultrasonography reflects the increasing
use of this modality in general practice, but the editors and authors are to
be commended for recognising that the skill of radiographic interpretation
remains the cornerstone of abdominal imaging for the general practitioner.
Nevertheless, the value of integration of imaging modalities is emphasized
throughout.
In the 245 pages, the experienced contributors have been given the luxury
of covering their allotted topics in considerable detail, with generous use of
illustrations. This Manual therefore compares favourably with the recognized
reference texts and will be of value to those undertaking specialized training
as well as finding an essential place in practice libraries.
Congratulations to the authors, editors and the BSAVA for adding this publication
to the expanding list of practice Manuals. It will be much appreciated.
vii
Thomas Jefferson
Imaging plays a vital role in the evaluation of a sick patient. First and foremost
images are a data set. The information is there. The clever and methodical
evaluator can glean a vast amount of information from images. Integration
into the work up of the patient requires insight and an abundance of skill and
experience. Perseverance and dedication have no equal for the acquisition
of a suitable skill set.
In assembling the chapters for the BSAVA Manual of Canine and Feline
Abdominal Imaging we were fortunate in acquiring the services of many
authors. These world experts contributed well written information, wonderful
images and a spirit of enthusiasm and competence to this project. Often
the contributions were outstanding and truly world-class. We hope that you
appreciate their efforts.
We have included many forms of imaging in this text. While the emphasis
remains radiography, we included as wide a spectrum as reasonable.
Radiography is extremely important and will remain so in the near future. No
other modality provides the overview of large portions of the body in such a
quick time for most general practices.
Finally, we hope that this text projects our love of imaging and devotion to the
sub ect material. We hope that you en oy the te t and find it useful. We fully
expect that you will accept learning as a life-long mission. This mission helps
our patients, their owners and the veterinary profession.
Bob O’Brien
Frances Barr
December 2008
Acknowledgements
I wish to acknowledge the unwavering support of my family. To Mo, Niallan,
Aidan and Tom. Thanks for the help [ROB].
viii
Decrease in opacity
• This may be due to fat, which is less radiopa ue
than other soft tissues.
1.3 Lateral abdominal radiograph of an adult dog • A marked decrease in opacity is usually due to
taken a few minutes after administration of gas. It is important to determine whether this is
barium. The barium outlines the position of stomach,
emphasizing the change in shape of the liver. The normal
contained with the gastrointestinal tract, is free in
triangular shape of the liver has been replaced by an the peritoneal cavity, or is within soft tissues
irregularly rounded mass. The final diagnosis was a (which may indicate a cavitating lesion, tissue
hepatic carcinoma. necrosis or air embolization).
Abdominal radiography
J. Fraser McConnell
• Abdominal distension
• Organomegaly
• Investigation of palpable masses
• Body wall swellings hernias
• eight loss
• Abdominal pain
• Fever of unknown origin
• Investigation of biochemical abnormalities
• Screening for primary or secondary neoplasia
• Screening following trauma
• Gastrointestinal signs:
2.1 Lateral radiograph of a dog with a wet coat. The
– Vomiting streaky appearance to the caudal abdomen is
– Diarrhoea due to wet hair and can be mistaken for a small volume of
– Tenesmus abdominal fluid. Note the streaking extends beyond the
– Dyschezia boundaries of the abdomen.
Suspected foreign body.
• rinary signs:
– Polyuria Radiography
– Dysuria
Anuria stranguria Types of radiography
rinary incontinence
– Monitoring response to medical treatment for Conventional film–screen radiography
urolithiasis. ith conventional (analogue) systems, information is
• Reproductive tract: recorded using a continuously variable physical
Determination of number of fetuses quantity such as time, position or voltage. Conventional
pregnancy (in late stages) film-based radiographs are an example of an analogue
– Vaginal discharge. system because the degree of film blackening is
continuous (without steps).
ith conventional film screen systems, the radio
Patient preparation graphic image is created by the pattern of photons or
For elective studies the animal should be fasted for light reaching the film. The shade of grey on a
12–24 hours and allowed the opportunity to urinate particular part of the film is largely determined by the
and defecate prior to radiography. If the size of the number of photons reaching the film. This relationship
gastrointestinal tract and bladder can be reduced in between the radiographic exposure (number of
this way there will be less superimposition of the photons) and optical density (blackness) of the film is
abdominal viscera. The animal’s coat should be dry known as the characteristic curve and is sigmoidal
and free of dirt. et hair results in a streaky (Sshaped) (Figure 2.2). If there are too few (under
appearance that can be mistaken for small volumes exposure) or too many (overexposure) photons, the
of peritoneal fluid (Figure 2.1) or peritonitis. Flecks of information given by the pattern of photons is lost.
dirt on the coat may be mistaken for soft tissue ithin the useful (straight) part of the characteristic
mineralization and calculi. curve there is a continuous (but logarithmic) linear
Digital radiography
The term digital comes from the same source as digit
(finger) and a useful analogy is that digital information
is similar to counting on fingers. There is a limited
A
number of potential (discontinuous) values that can
be measured with a digital system. In digital radio
Log Exposure graphy, the amount of photons light reaching the
detector is converted into a range of discrete values.
2.2 Characteristic curve for radiographic film. Useful In contrast, an analogue system can measure an
radiographic densities lie between the ‘toe’ (A)
almost infinite (continuous) range of values. ith dig-
and ‘shoulder’ (B) regions of the curve. The regions on the
curve below A and above B contain no useful information ital radiography, the production of the X-ray beam and
due to underexposure and overexposure, respectively, interaction of the X-ray photons with the tissues is the
where no useful information is present on the film. same as conventional (analogue) radiography. The
Radiographic exposures should be chosen to use the difference is in the detection of the X-ray photons and
relatively straight part of the curve (between A and B) the production of the image.
where density is proportional to log exposure. The The digital radiographic image is created from a
steepness of the slope is known as the film ‘gamma’, which
determines the inherent contrast of the film and also how number of small rectangular picture elements (pixels)
much latitude there is in choice of exposure. arranged in a grid (Figure 2.3). The resolution of the
image is determined mainly by the size of the pixels
relationship between the number of photons and the used to make the image. The smaller the pixel the
density of the film. hen taking conventional radio
graphs the exposure should be set to use the straight
part of the characteristic curve.
Once the film is processed the brightness and
contrast of the image are fixed. Although there are
potentially hundreds of shades of grey on the film
image, the ability of the human eye to differentiate
between the shades of grey is limited to around 60.
Once the image is formed and the film has been pro
cessed there can be no further manipulation of the
image. Thus, the radiographic technique must be opti-
mized to give a diagnostic radiograph. One problem
with analogue systems is that repeated recording or
copying of data often results in deterioration in quality.
Therefore, the quality of copy radiographs is usually
less than that of the original.
The resolution of the film is dependent upon the (a)
crystal size within the emulsion and the intensifying
screen. Faster film screen combinations have larger
crystals that require less exposure but have poorer
resolution compared with slower (detail) combinations.
Detail film–screen combinations should be used for
abdominal radiographs in cats and small dogs. For
larger dogs rapid film–screen combinations are
normally used.
The main disadvantages of conventional film-
based systems are:
For a moment terror held the Racer boys motionless. The danger
had come so suddenly that it deprived them of the power to think.
Then came the reaction, and they were themselves once more.
“Quick! Throw your helm over! We can just make it!” yelled Frank.
“I’ll attend to the sheet—you manage the tiller! Lively now!”
Andy needed no second command. He fairly threw himself at the
helm, and with all his strength forced it hard over. The shortened sail
rounded out with the pressure of the wind on it, and the Gull heeled
over at dangerous angle. Under her keel came that ominous
scraping sound that told of her passage over part of the Shark’s
Teeth.
“It’s a submerged rock!” shouted Andy. “We may scrape over it!”
“Let’s hope so!” murmured Frank, as he looked hastily down at
the unconscious form of the strange lad. Then he gave all his
attention to the rope that controlled the end of the swinging boom.
With the same suddenness that it had come upon them, the
danger was past. The Gull slid into deep water, and the hearts of the
boys beat in glad relief. Rapidly the craft paid off until she was well
away from the ugly black points that could be seen, now and then,
rearing up amid a smother of foam.
“Round about and beat for home!” yelled Frank. “Whoever this
fellow is, he needs a doctor right away. I hope the wind holds out.”
“Did you learn who he was?” asked Andy, as he gave his attention
to putting the boat on the proper course.
“No. How could I? He was as weak as a cat when I got to him,
but he had sense enough not to grab me. He knows how to swim all
right, but something is the matter with his left arm.”
“Think it’s broken?”
“I don’t know. It’s a wonder he wasn’t killed when that boat blew
up. He must have been hurt in some way, or he wouldn’t be
unconscious.”
“Maybe it’s because he’s nearly drowned. He may be half full of
water.”
“That’s so,” agreed Frank. “I’ll see what I can do for him while you
steer. Make all you can on each tack.”
They were fast leaving behind them the wrecked motor boat
which bobbed about on the waves. It was no longer on fire, and the
brothers would liked to have towed it to the pier, but this was
impossible in the storm.
Then, as his brother skillfully managed the sailboat, Frank once
more bent over the unconscious form. He knew what to do in giving
first aid to partly drowned persons, and lost no time in going
through the motions designed to rid the lungs of water.
Frank did succeed in getting some fluid from the system of the
stranger, but the lad still remained unconscious, with such a pale
face, with tightly closed eyes, and showing such apparent weakness,
that Andy remarked:
“I guess he’s done for, poor fellow!”
“I’m not so sure of that,” responded Frank. “He’s still breathing,
and there’s a spark of life in him yet. We must get him to our house,
and have a doctor right away. Oh! now’s the time I wish we had a
motor boat!”
“We’re doing pretty well,” declared Andy. And indeed the Gull was
skimming along at a rapid rate. She was quartering the wind, until a
sudden lull in the gale came. They hung there for a moment or two,
and the brothers looked anxiously at each other. Were they to be
becalmed when it was so vitally necessary to get the stranger to a
doctor immediately?
But once more the sail swelled out, and with joy the Racer boys
noticed that the wind was now right astern and that they could run
down to the dock on the wings of it, making an almost straight
course.
“This is the stuff!” cried Frank, as he made a sort of pillow from
some sail cloth for the sufferer’s head.
“It sure is. We’ll be there soon. You’d better get some of your
clothes on before we land.”
Frank slipped on his garments over his wet underwear and trusted
to the wind to dry him before reaching home.
“I wonder who he can be?” mused Andy. “He wears good clothes,
and if he owns that wrecked motor boat he must have money, for it
was a big one, and cost a lot.”
“It sure did. Well, we may find out who he is when he comes to,
after the doctor has seen him. We’ll take him up to our house.”
“Of course. There’s no other place for him in Harbor View. We’ll
be at the dock in five minutes more.”
The rest of the trip was quickly covered, and, a little later, the two
brothers had run their craft right up to the float, made her fast and
began lifting out the unconscious form of the lad they had saved.
“Avast there! What ye got?” cried the hearty voice of Captain
Trent. “Is he dead? Who is he?” He peered down over the pier
railing.
“We don’t know,” answered Frank to both questions. “He was in a
motor boat—wrecked—it blew up—we saved him.”
“By Davy Jones! Ye don’t mean it! Wa’al, I’ll give you a hand.”
With the old salt’s aid the boy was soon lifted up to the pier. Then
Frank asked:
“Where’s your horse and wagon, Captain? We can never carry him
to our house without something like that. Where’s the wagon?”
“Bob jest got back from delivering clams in it. I’ll go clean it out—
the hoss is hitched to it yet, an’—”
“Don’t bother to clean it!” interrupted Andy. “Just put some sail
cloth in the bottom. It doesn’t matter if it’s dirty. Every second
counts now. Get the wagon.”
“Right away!” cried the old sailor, who did a general clamming and
fish business. He hurried off in the direction of his store and stable,
impressed by the words and energetic actions of the Racer boys. “Hi
there, Bob!” the captain called to his son, whom he saw
approaching. “Bring Dolly an’ the rig here as quick as you can! Frank
an’ Andy Racer went out an’ brought back a dead motor boat—
leastways I mean a fellow that was nearly killed in one. Bring up the
rig jest as she is! Lively!”
“Aye, aye!” answered Bob, seaman fashion.
A minute later a nondescript vehicle, drawn by a big but bony
horse rattled up, driven by the captain’s son.
“What’s up?” asked Bob Trent of the lads, with whom he was
quite friendly. “Who is he?”
“That’s what we’d like to know,” spoke Frank. “We may find out if
he doesn’t die. We’ve no time to spare.”
They lifted the unconscious form into the wagon, on the bottom
of which had been spread a number of old sails.
“I’ll drive,” said Bob briefly. “I can get more out of Dolly than most
folks. You’ve got to do your best now, old girl,” he called to the
horse. The animal pricked up her ears.
“I’ll ride in back and hold his head,” volunteered Frank. “Andy, you
go telephone for Dr. Martin. Tell him to get to our house as soon as
possible—explain why. Have him there by the time we arrive, if
possible.”
“Right!” cried Andy sharply, and he raced off toward the nearest
telephone, there being a few of the instruments in Harbor View.
“Wa’al, I’ll be jib-boomed!” exclaimed Captain Trent, as his son
drove off, the horse making good time. “Them Racer boys is allers
up to suthin’ or other.”
Bob spoke the truth when he said he could do better with Dolly
than most drivers, for the steed started out at a fast pace, and kept
it up until the rickety vehicle turned into the drive that led to the
handsome cottage owned by Mr. Racer. Mrs. Racer hurried to the
door as she heard the sound of wheels, and at the sight of Frank
sitting in the wagon, holding the head of another lad in his lap, Mrs.
Racer cried out:
“Oh, Frank! What has happened? Is—is it—Andy? Is he—is he—?”
she could say no more, and began crying.
“It’s all right, mother!” shouted Frank heartily. “We rescued an
unknown lad. Andy has gone to telephone for Dr. Martin. He ought
to be here now. Tell Mary to get some hot water ready. We may
need it. Lay out some blankets. Get a bed ready, mother.”
Frank issued his requests as if he had been used to saving
drowned persons every day. His crisp words had the effect of
restoring Mrs. Racer to her usual calmness.
“I’ll attend to everything,” she said. “Oh, the poor fellow! Bring
him right in here. Can you and Bob lift him?”
“I think so,” answered the captain’s sturdy son.
“Oh, why doesn’t Dr. Martin come?” cried Mrs. Racer.
“That sounds like his auto now!” exclaimed Frank, as he and Bob
carried the unknown lad into the house. “Yes,” he added a moment
later, “here he comes.”
“And Andy’s with him,” added Bob. “The doctor must have picked
him up on the way here.”
It was the work of but a few moments to get most of the
unconscious youth’s clothes off and place him in bed. By that time
the physician was ready to begin his ministrations.
“I don’t know,” mused Dr. Martin, as he felt of the feeble,
flickering pulse, and listened to the scarcely audible breathing. “He’s
pretty far gone. Hurt internally, I imagine. But we’ll see if we can
save him.”
With the eager and able assistance of the Racer boys, their
mother and Bob Trent, Dr. Martin labored hard to restore the lad to
consciousness. At first his efforts seemed of no avail. His eyes
remained closed, and the pulse and breathing seemed to grow more
feeble.
“I think I’ll try the electric battery,” said the doctor finally. “If one
of you will bring it in from my auto, I’ll see what effect that has.”
“I’ll get it!” cried Andy, and he fairly ran out and back.
For a time it looked as if even the powerful current would be
useless, but when the doctor turned it on full strength there was a
convulsive shudder of the body. Then, suddenly the eyes opened,
and the voice of the rescued lad murmured:
“It’s cold—the water—Oh! The gasolene tank! It will explode! I
can’t get away now! I must jump!”
He raised himself in bed, but the doctor gently pressed him back.
“There, there now,” spoke the physician soothingly. “You are all
right. Don’t worry. You’ll be all right.”
“He’s going to live,” said Andy softly.
Once more the tired eyes closed, and then opened again.
“Where—where am I?” asked the lad wildly.
He looked about the room in amazement, and once more tried to
get out of bed, but was restrained.
“You’re with friends,” said Mrs. Racer softly. “You will be well
taken care of.”
“What—what place is this?” gasped the lad.
“Harbor View,” replied Frank promptly. “Who are you?”
Eagerly they all leaned forward, for they wanted to solve the
mystery of the identity of the rescued lad. He gazed at them all in
turn. A half smile played about his face. Then he said weakly:
“I am—”
He sank back upon the bed unconscious, his name unspoken.
CHAPTER V
SEEKING THE WRECK
For a moment there was silence in the room, and something like a
disappointed sigh came from Frank and his brother. Andy leaned
over the bed.
“Who are you?” he asked, placing his hand on the head of the lad.
“Can’t you tell us who you are, or where you live? We want to help
you. How did you come to be in the boat alone? How did it get on
fire?”
There was no response.
“It is useless to question him,” said Dr. Martin. “I will give him
some medicine, now that he is partially restored to consciousness,
and perhaps when he is stronger he can tell who he is. In the
meanwhile it will be best not to bother him.”
The boys took this as a hint that they had better leave the room,
so the three of them filed silently out to permit of the physician and
Mrs. Racer continuing their efforts to bring the lad out of the stupor
into which he had fallen.
“It’s a queer case,” mused Frank.
“It sure is,” agreed his brother. “I hope he doesn’t die before we
find out who he is, or where he belongs.”
“I hope he doesn’t die at all,” put in his brother quickly.
“Oh, of course,” assented Frank. “So do I.”
“Could you make out any name on the motor boat?” inquired Bob.
“Didn’t have a chance,” answered the older Racer lad. “Andy and I
had our hands full managing our boat, and, when I went overboard
I had to depend on Andy to pull that lad and me back. The sea was
fierce and it was blowing great guns. All I know is that it was a fine
boat, and it’s a shame it was wrecked on the Shark’s Teeth.”
“She’ll go to pieces if she stays there long,” was Bob’s opinion.
“The bottom will be pounded out of her and she’ll go down.”
“Your father was right about the storm coming up,” said Frank,
after a pause. “I never saw it blow so hard in such a short time.”
“Oh, dad can generally be depended on for a weather guess,” said
the son proudly. “Well, I must be getting back. Got to put on another
load of clams before supper. Let me know how that chap makes out,
will you?”
“Sure,” assented Frank. “And if you see or hear anything of that
motor boat up or down the coast, let us know. Maybe we can save
it, and find out something about this boy from it, in case he isn’t
able to tell.”
“I’ll do it,” promised the captain’s son.
“And if you see a wounded whale, it belongs to us,” added Andy.
“A wounded whale?” gasped Bob. “Are you stuffing me? This isn’t
Thanksgiving.”
“It was a whale all right,” went on Andy, playfully poking his
brother in the ribs, “and it stove in my boat. If I could catch the
beggar I’d sell his hide or oil or whatever is valuable about him, and
get a new boat.”
“Does he mean it?” asked Bob, turning to Frank, for the younger
Racer lad was well known for his practical jokes and his fun-loving
characteristics.
“Yes, we did get rammed by one just before we went out in the
Gull,” said Frank, a bit solemnly, for the events of the past few hours
had made quite an impression on him. Then he briefly told the story
of the monster’s attack.
“We didn’t say anything to your father about it when we came in,”
explained Andy, “as we didn’t want to be delayed. But if you see or
hear of that whale, don’t forget he belongs to us.”
“I won’t,” declared Bob. “Now I’ve got to hustle, as it’s almost
supper time.”
“Supper!” cried Andy. “That reminds me, we haven’t had dinner
yet, Frank.”
“My stomach reminded me of that some time ago,” declared the
brother. “We had such a strenuous time that it slipped our minds, I
guess. But I’m going to make up for it now. So long, Bob; see you
later.”
“So long.”
Then, as the rickety wagon was driven away Frank and Andy went
in the house to change their wet garments.
The two brothers were tiptoeing their way to the room where the
wounded lad lay, having first ascertained from Mary, the cook, that
supper would soon be ready, when they saw Dr. Martin coming from
the apartment.
“Is he better?” asked Frank in a whisper.
“Yes,” and the doctor smiled. “I succeeded in fully restoring him to
consciousness, and he is now sleeping quietly. I have given him a
powder and it will be some time before he awakens. He is worn out,
in addition to being injured.”
“Is he badly hurt?” Andy wanted to know. “Is his arm broken?”
“No, only severely sprained. In addition, he has several big
bruises and a number of cuts where he must have been tossed
against the rocks. His hands are burned slightly, but there is nothing
dangerous, and with care he ought soon to recover.”
“He must have gotten burned trying to put out the fire on the
boat,” commented Frank. “But, Dr. Martin, did you learn anything
about him? What’s his name? Where does he belong? What was he
doing near the Shark’s Teeth in a gale?”
“I can’t answer any of your questions,” replied the physician
gravely. “I asked the lad who he was, thinking that his people would
be worried, and that I might be able to send some word to them.
But, though he was fully in his senses, and seemed to realize what
he had gone through, I couldn’t get a word out of him about his
name.
“When I asked him, as I did several times, and as also did your
mother, he would begin, ‘I am—’ Then he would stop, pass his hand
across his forehead, and look puzzled. He did this a number of
times, and it seemed to pain him to try to think. So I gave it up.”
“How do you account for that?” asked Andy.
“Well, the fright and injuries he received may have caused a
temporary loss of memory,” replied the doctor. “Or there may be
some injury to the brain. I can’t decide yet. But I’ll look in again this
evening. He’ll be much improved by then, I am sure.”
“It’s getting queerer and more queer,” commented Andy, as the
physician hastened away in his car. “Think of forgetting who you are,
Frank!”
“It sure is too bad. We must try to help him. That motor boat
would be a clue, I think. As soon as the weather gets better, and this
storm blows over, we’ll have a search for it.”
“Yes, we’re in for a hard blow, I think. It’s a worse gale now than
when we were out.”
The wind, which had momentarily died out, had sprung up again
with the approach of night, and it began to rain. Out on the bay, a
view of which could be had from their house, the boys could see big
tumbling billows.
“It’s a good night to be home,” mused Frank. “I’m afraid we’ll
never see that wrecked motor boat again. It will pound to pieces on
the Shark’s Teeth.”
“Very likely. Well, let’s go in and see how much nearer supper is
ready. Dad’s home now.”
It was rather a long and dreary night, with the storm howling
outside, and Frank, who had the last watch, was not sorry when the
gray daylight came stealing in. The unidentified lad had slept
soundly, only arousing slightly once or twice.
“We must have a nurse for him,” Mrs. Racer decided, when she
and her husband, together with the boys, had talked the case over
at the breakfast table. “Poor lad, he needs care. He looks as if he
came from good people—a refined family—don’t you think so, Dick?”
and she turned to her husband.
“Oh, yes, he seems like a nice lad. Get a nurse if you can, and
have the best of everything. And I don’t want you boys tackling any
more whales,” Mr. Racer added decidedly, as he gazed at his sons a
bit sternly.
“No, indeed!” their mother hastened to add. “I should have died
of nervousness if I had known they went out again, after that
dreadful fish smashed Andy’s boat.”
“A whale’s an animal, not a fish, mother,” said the younger lad as
he gave her a kiss. “We are going to capture that one and sell its
oil.”
“Don’t you dare venture whale-hunting again, or we’ll go straight
back to New York, and that will be the end of your vacation,” she
threatened.
“That’s right,” added Mr. Racer. “Don’t forget. Well, I must be off
or I’ll miss my boat,” and he hurried away to his New York office.
There was quite an improvement in the condition of the
mysterious youth that day, and, with the arrival of the nurse, the
Racer boys and their mother were relieved from the care of him,
though one or the other of them paid frequent visits to the sick
room.
“He’s doing nicely,” said Dr. Martin on the third day. “He is out of
danger now.”
“And still not a word to tell who he is?” spoke Frank.
“No,” said the doctor musingly, “he talks intelligently on every
subject but that. He remembers nothing of his past, however. He
doesn’t even seem to know that he was out in a motor boat. All he
can recall is that he was in some kind of trouble and danger, and
that he was saved. He knows that you boys saved him, and he is
very grateful.”
“And he doesn’t know a thing about himself?” asked Andy
wonderingly.
“Not a thing. It is as if he was just born, or as if he came to life
right after the wreck. He has some dim memory of being in a big
city, and of looking for some man, but who this man is seems to be
as mysterious as who he himself is. So I have given up questioning
him for the present as it distresses him.”
“Will he ever recover his mind?” asked Mrs. Racer anxiously.
“Well, such cases have been known,” replied the doctor. “Perhaps
in time, with rest and quietness, it may all come back to him as
suddenly as it left him. But what are your plans in regard to him?”
“He is to stay here, of course, until he recalls something of
himself,” said Mrs. Racer decidedly. “Then he may be able to tell us
who his people are.”
“And if that should take—say all summer?” The doctor looked at
her questioningly.
“If we have to take him back to New York with us in the fall, we’ll
do it,” went on the mother of Frank and Andy.
“Perhaps the city sights may recall him to himself,” suggested
Frank.
“Perhaps,” agreed Dr. Martin. “Well, I’ll stop in again to-morrow.”
The next day, and the next, however, saw very little change. The
lad grew much stronger, so that he could sit up in bed, but that was
all. The past remained as dark as before. Yet he was intelligent, and
could talk on ordinary topics with ease, and with a knowledge that
showed he had been well educated. But even his name was lost to
him. They looked in the newspapers but saw no mention of a lost
boy.
Meanwhile Frank and Andy had made diligent inquiries about the
wrecked boat, but had heard nothing. Nor was there any news of
the whale.
“Of course I don’t intend to go out after him, when dad and mom
don’t want us to,” Andy carefully explained to his brother, “but it
does no harm to ask; does it?” and he laughed joyously.
“No, I suppose not,” assented Frank.
It was about a week after the rescue of the mysterious lad, and
his physical condition had continued to improve. He would soon be
able to get around, the doctor said. Frank and Andy, who never grew
tired of discussing the problem, and of wondering when the lad’s
mind would come back, were strolling along the beach of Harbor
View. The weather had cleared and they were thinking of going for a
sail, mainly on pleasure but incidentally to look for the wrecked
motor boat.
“It’s queer no one has sighted her, or heard of her,” remarked
Andy, gazing off to sea, as if he might pick up the disabled craft on
the horizon.
“Yes,” agreed Frank. “I guess she’s sunk all right.”
They walked on in silence, and were about to turn back toward
where their boat was moored, when they noticed a man walking
rapidly along the sands of the beach toward them.
“He seems to be in a hurry,” observed Frank, in a low voice.
“Yes,” agreed his brother. “He looks as if he wanted to speak to
us.”
“He’s a stranger around here,” went on Andy.
A moment later the man hailed them.
“I beg your pardon,” he began, striding up to the two brothers,
and shifting his gaze rapidly from one to the other. “But have you
seen or heard of a large motor boat going ashore around here? I’m
looking for one. There would be a boy in it perhaps—a lad of about
your size. Perhaps he put in here to get out of the storm. I’ve
inquired all along the coast, but I can’t get any word of him. You
haven’t happened to have heard anything, have you?”
Frank and Andy looked at each other quickly. At last they seemed
on the track of the mystery.
“Was he a tall, dark lad, with black hair?” asked Frank.
“Yes—yes, that’s the boy I’m looking for!” exclaimed the man
quickly.
“And was the motor boat a long one, painted white with a green
water line, and with the engines forward under a hood?” added
Andy.
“Yes!” eagerly cried the man, in his excitement taking hold of
Andy’s coat. “That’s the boat! Where is it? I must have it!”
“She’s wrecked,” said Frank quickly. “We saw her on the Shark’s
Teeth, going to pieces, and we’ve been looking for her since, but the
boy—”
“Yes—yes! The boy—the boy! What of him? Where is Paul—?”
The man stopped suddenly, and fairly clapped his hand over his
own lips to keep back the next word. He seemed strangely confused.
“We rescued the boy, and he is up at our house,” said Frank
quickly. “We have been trying to pick up the wreck of the boat and
learn who the boy is. He has lost his memory.”
“Lost his memory!” the man exclaimed, and he actually appeared
glad of it.
“Yes, he doesn’t remember even his name,” explained the elder
Racer lad. “But now we can solve the mystery as you know him. You
say his name is Paul. What is his other name? Who are you? Don’t
you want to see him? We can take you to him—to Paul.”
The brothers eyed the man eagerly. On his part he seemed to
shrink away.
“I—I made a mistake,” he said, biting his nails. “I know no one
named Paul. I—I—it was an error. That is not the boy I want. I must
hurry on. Perhaps I shall get some news at the next settlement. I
am—obliged to you.”
His shifty eyes gazed at the brothers by turns. Then the man
suddenly turned away muttering something under his breath.
“But you seemed to know him!” insisted Frank, feeling that the
mystery was deepening.
“No—no! I—I made a mistake. His name is not Paul. I am wrong.
That is—well, never mind, I’m sorry to have troubled you.”
He was about to hurry away.
“Won’t you come and see him?” urged Frank. “It is not far up to
our house. My mother would be glad to meet you. Perhaps, after all,
this lad may be the one you seek. His name may be Paul.”
“No—no! I must go! I must go. I—I don’t know any Paul,” and
before the Racer boys could have stopped him, had they been so
inclined, the man wheeled about and walked rapidly down the
beach.
CHAPTER VI
CHET SEDLEY’S STYLE
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