Secondary nutritional metabolic bone disease was diagnosed in a gravid leopard tortoise (Geochelone pardalis pardalis). Diagnosis was based upon history, physical examination, hematology, plasma biochemistry, and radiography. Despite induced oviposition and treatment of metabolic bone disease for 8 wk, the tortoise's condition deteriorated. Repeat radiographs demonstrated gaseous intestinal distention. Oral administration of metoclopramide and mineral oil failed to stimulate defecation. Persistence of the ileus pattern prompted utilization of magnetic resonance imaging (MRI) and computerized tomography (CT). MRI demonstrated brightly enhanced loops of mineral oil-filled small bowel and preovulatory follicles. CT demonstrated dystrophic calcification of the left hepatic lobe and preovulatory follicles and the typical reticular pattern of chelonian lung. The interstitial septa were caused by pulmonary vasculature or bands of smooth muscle.

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