A 6-year-old SF DSH was presented for evaluation of possible lung masses and pleural effusion. 120cc of transudate was drained from the pleural space.
A 6-year-old SF DSH was presented for evaluation of possible lung masses and pleural effusion. 120cc of transudate was drained from the pleural space.
There is some tricuspid insufficiency and some right heart enlargement present in this case. This could be due to tricuspid dysplasia (one of the most common congenital heart diseases in cats) or due to ARVC. But ARVC is less likely because the RVW motion seems to be normal. The left ventricle contains some false tendons but there is no functional impairment present. I almost totally sure that the heart is not the cause for the pleural effusion noted. Adjacent to the pericardium there is something that could be some fibrinous structure or part of a neoplasia. I would suggest to take a sample for cytology and to perform a CT scan after removing all the fluid. No heart therapy necessary. If the problem of the liquidothorax can be solved I would rescan the cat after 6 months to look what the right heart is doing.
The left ventricle looks normal despite some false tendons running from the apical segment of the LVW to the basal segment of the IVS. The mitral valve appears without pathologic changes, the left atrium has a normal size. The right ventricle seems to be a little bit enlarged but thereВґs no sign of abnormal wall motion. The right atrial size is borderline. I donВґt see any mitral of aortic insufficiency, thereВґs no SAM present and no turbulence within the LVOT. The tricuspid valve is mildly insufficient, the pulmonary valve closes properly. ThereВґs pleural effusion present, but no pericardial effusion. Adjacent to the pericardium on the right side at the level of the heart base there is some wavy like flat and long structure floating within the pleural effusion which is most probably some fibrin nut could also be part of a mass (e.g. mesothelioma)
M-mode data not uploaded
Cardiac – dilated/hypertrophic cardiomyopathy, pericardial effusion, atrial embolism/neoplasia Hypoproteinemia – liver disease, PLE, PLN Lung – neoplasia, fibrosis, granulomatous disease
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