RAD – Chronic inflammatory airway disease, likely viral or bacterial, in a 12 year old MN Pomeranian

Case Study

RAD – Chronic inflammatory airway disease, likely viral or bacterial, in a 12 year old MN Pomeranian

This 12 year old MN Pomeranian presented with acute onset coughing.

Physical exam: 4/6 systolic murmur, lungs clear.  4DX negative. 

This 12 year old MN Pomeranian presented with acute onset coughing.

Physical exam: 4/6 systolic murmur, lungs clear.  4DX negative. 

DX

The radiographic findings are compatible with chronic inflammatory airway disease. Infectious bronchitis – especially viral and/or bacterial - and allergic airway disease are possible differential diagnoses.

Image Interpretation

Rads of the thorax –  The dorsoventral luminal diameter of the trachea is mildly reduced by 2 mm or 25 % over a length of 4.6 cm at the level of the thoracic inlet. Moderate cylindrical bronchiectasis and thickening of the bronchial walls is noted for the main bronchi of all lung lobes.

Outcome

Bronchial lung pattern with cylindrical bronchiectasia
• Mild tracheal collapse – considered incidental
• No evidence of congestive heart failure
Parasitic, fungal and mycobacterial infections are low for potential with the current radiographic presentation. The clinical history of rather acute onset of the clinical signs does not parallel the
radiographic findings. Hence, other underlying causes of cough, such as upper airway
inflammation (laryngitis/tracheitis) should be considered as well.

Patient Information

Patient Name : Puffy Arana/DPC
Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 17_00094

Clinical Signs

  • Coughing

Exam Finding

  • Heart Murmur

Images

bildschirmfoto_2016-09-29_um_11

Clinical Signs

  • Coughing
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