The first time I saw this I just wanted to share. The images aren’t perfect but self explanatory, so I decided to post them, the patient wasn’t really collaborating (dyspneic), wasn’t standing still, these images are literally stolen in 2 sec. The vet following the case was doing a poor job, the owner was “special” (trying to be polite on my first post!! :-),so please excuse the limitations on the images. This is Luna, a 12year old neutered female cat
The first time I saw this I just wanted to share. The images aren’t perfect but self explanatory, so I decided to post them, the patient wasn’t really collaborating (dyspneic), wasn’t standing still, these images are literally stolen in 2 sec. The vet following the case was doing a poor job, the owner was “special” (trying to be polite on my first post!! :-),so please excuse the limitations on the images. This is Luna, a 12year old neutered female cat
- Progressive dyspnea for about 2 months,
- whizzing dyspnea, that exacerbates in stressful situations (like the vet!)
- Eating normally with no weight loss
- No blood Work
- One LL cervical Rx, (very overexposed), that showed a luminal soft tissue opacity in the tracheal resulting in occlusion
ULTRASOUND
The intraluminal trachea is visible, as it if filled with a hypoechoic concentric growth, with severe stenosis of the traqueal lumen. DD:
- Trachea neoplasia : lymphoma, adenocarcinoma, condrosarcoma
- Inflamatory polip
RECOMMENDATIONS Cat is severely dyspneic at the vet, sedations is tricky, he needs oxygen and possible to be ready to do a tracheotomy . Consider FNA or Endoscopy with FNA and Biospy. The owner is considering consulting my Oncologist colleague, so there might be some hope of follow through in this case….
NEWS
Better late then never, so here is my update on this case, I was waiting for the images and results, and they came late and I never post them here. As this is interesting here it is. The cat was severely dyspneic and the owner took him to a hospital. The intubated and large amount of pus came out of the tube. He had a endoscopy shortly after and a severe productive brocopneumonia was suspected. The material collect was compatible with an infectious bronchial exudate, and the culture was positive for serratia marcescens. This owner never mentioned to us, a productive cough or nasal discharge, expected in a productive broncopneumonia….. So I was completely wrong, I think what I see in the images id the tracheal lumen filled with pus with only a small amount of air passing, the hyperechoic line in the center. So you have an idea of how much pus, I’ve added an image form the endoscopy were you sell the left bronchus filled with pus.
Comments
Nice Images! cool case for
Nice Images! cool case for sure. You can see the hypoechoic infiltrative and stricturing pattern. Should be able to get a 22 g fna likely to get cytology as it looks very sarcoma-ish which wouldnt be the worse thing if chemo or radiation responsive. Sounds like putting a needle in a trachea may send the GP into dyspnea though. Please let us know what the fna shows.
Nice first post!
Nice Images! cool case for
Nice Images! cool case for sure. You can see the hypoechoic infiltrative and stricturing pattern. Should be able to get a 22 g fna likely to get cytology as it looks very sarcoma-ish which wouldnt be the worse thing if chemo or radiation responsive. Sounds like putting a needle in a trachea may send the GP into dyspnea though. Please let us know what the fna shows.
Nice first post!
Hello
Better late then
Hello
Better late then never, so here is my update on this case, I was waiting for the images and results, and they came late and I never post them here. As this is interesting here it is.
The cat was severely dyspneic and the owner took him to a hospital. The intubated and large amount of pus came out of the tube. He had a endoscopy shortly after and a severe productive brocopneumonia was suspected. The material collect was compatible with an infectious bronchial exudate, and the culture was positive for serratia marcescens.
This owner never mentioned to us, a productive cough or nasal discharge, expected in a productive broncopneumonia…..
So I was completely wrong, I think what I see in the images id the tracheal lumen filled with pus with only a small amount of air passing, the hyperechoic line in the center.
So you have an idea of how much pus, I’ve added an image form the endoscopy were you sell the left bronchus filled with pus. See above on original post
Hello
Better late then
Hello
Better late then never, so here is my update on this case, I was waiting for the images and results, and they came late and I never post them here. As this is interesting here it is.
The cat was severely dyspneic and the owner took him to a hospital. The intubated and large amount of pus came out of the tube. He had a endoscopy shortly after and a severe productive brocopneumonia was suspected. The material collect was compatible with an infectious bronchial exudate, and the culture was positive for serratia marcescens.
This owner never mentioned to us, a productive cough or nasal discharge, expected in a productive broncopneumonia…..
So I was completely wrong, I think what I see in the images id the tracheal lumen filled with pus with only a small amount of air passing, the hyperechoic line in the center.
So you have an idea of how much pus, I’ve added an image form the endoscopy were you sell the left bronchus filled with pus. See above on original post
Well I guess you would have
Well I guess you would have gotten pus on the fna:) Never wrong just part of the process which is why we investigate:)
Great material calinca!
Well I guess you would have
Well I guess you would have gotten pus on the fna:) Never wrong just part of the process which is why we investigate:)
Great material calinca!