Head swelling

Sonopath Forum

  • 6 year old mountain dog initially presented with exopthalmos and possible retrobulbar abscess
  • Resolved with course of antibiotics 
  • Represented with swelling on side of head between orbit and ear
  • CT – multicavitatory fluid filled space-occupying lesion of right peri-orbital region with surrounding steatitis compatible with abscess granuloma. Mild periosteal reactions of right zygomatic bone and reactive lymphadenopathy. No FB detected.
    • 6 year old mountain dog initially presented with exopthalmos and possible retrobulbar abscess
    • Resolved with course of antibiotics 
    • Represented with swelling on side of head between orbit and ear
    • CT – multicavitatory fluid filled space-occupying lesion of right peri-orbital region with surrounding steatitis compatible with abscess granuloma. Mild periosteal reactions of right zygomatic bone and reactive lymphadenopathy. No FB detected.
    • Scanned today but swelling had decreased as was on antibiotics again – only small pocket of fluid with hyperechoic area within – do you think this is a foreign body or just some soft tissue?
    • I aspirated the small amount of fluid which was blood tinged fluid  

Comments

EL

I would drain that fluid

I would drain that fluid filled region fully us guided and cytology the tissue in the near field to be sure its just granulomatous and not neoplastic. May need to place a drain. I dont see a fb & the pattern suggests cellulitis.

veteurope1

Thank you, the fluid was

Thank you, the fluid was submitted to the lab. 

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