The patient is an 18 month old FS mixed breed dog that is heartworm positive. Has been on ivermectin (Heartgard plus) every 2 weeks for the last 8 months. Rads today to stage heartworm disease for consideration of immiticide treatment.
The patient is an 18 month old FS mixed breed dog that is heartworm positive. Has been on ivermectin (Heartgard plus) every 2 weeks for the last 8 months. Rads today to stage heartworm disease for consideration of immiticide treatment.
RADS – right lateral and VD thorax – Osseous structures:
The osseous structures included in the images are within normal limits.
Intrathoracic structures:
The degree of lung inflation is moderate.
The trachea, mediastinum and pleural space are within normal limits. A veil shaped
thymic remnant is seen. The lung reveals a moderate bronichal pattern with marked
peribronchial cuffing as well as multifocal small interstital coalescing nodules
emphasizing the caudal lobes.
The cardiac silhouette is within normal limits for size and shape. There is no right
ventricular enlargement noted on the radiographs. The main pulmonary artery presents
no enlargement at this point. The main lobar pulmonary arteries can be traced far into
the periphery oft he caudal lobes. They are engorged with mildly tortuous course. The
caudal vena cava is not dilated. There is no evidence of hepatic congestion and no
abdominal effusion.
The radiographic findings are compatible with parasitic lung disease and parallel the
heartworm infection reported in the history of the patient.
The degree of lung consolidation is moderate.
There is no evidence of rightsided congestive heart failure.
Radiographically neither right sided cardiac nor main pulmonary artery enlargement is
noted at this point.
