Lung Ultrasound

Sonopath Forum

– 6 year old MN, obese (80kg) Rottweiller with history of cough responsive to antibitoics in the past

– presented to rDVM for unrelated surgical procedure but he did not like the sound of his lungs so took chest rads in which a dense alveolar pattern was note in the left cranial lung lobe

– ultrasound showed lung consolidation in the region which had the angular shape of a lung lobe; could be seen sliding off the heart surface; LA normal in size

– no pleural or pericardial fluid appreciated; no mediastinal LN’s seen

– 6 year old MN, obese (80kg) Rottweiller with history of cough responsive to antibitoics in the past

– presented to rDVM for unrelated surgical procedure but he did not like the sound of his lungs so took chest rads in which a dense alveolar pattern was note in the left cranial lung lobe

– ultrasound showed lung consolidation in the region which had the angular shape of a lung lobe; could be seen sliding off the heart surface; LA normal in size

– no pleural or pericardial fluid appreciated; no mediastinal LN’s seen

– u/s guided FNA’s performed and submitted for cytology and culture

DDX: pneumonia (perhaps aspiration?) or pnemonitis, neoplasia, contusion (but no history of trauma)

Would you lean more toward infection or neoplasia? A CT and full abdominal ultrasound was recommended.

 

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