This 8 year old FS Golden Retriever dog was diagnosed with melanoma one year ago (surgical excision)
Physical Exam: increased bronchovesicular sounds, coughing, nasal discharge. check for metastases today.
This 8 year old FS Golden Retriever dog was diagnosed with melanoma one year ago (surgical excision)
Physical Exam: increased bronchovesicular sounds, coughing, nasal discharge. check for metastases today.
Rads of the thorax – The included bony & abdominal structures are within normal limits.
The mediastinum is within normal limits.
The heart is normal for size and shape. The major vessels and pulmonary vasculature
are within normal limits. There is no indication of vascular congestion.
Two interstitial soft tissue nodules are seen within the caudoventral lung field.
There is a moderate generalized bronchointerstitial lung pattern with bronchial wall
mineralization, mild peribronchial cuffing and multifocal cylindrical bronciectasis.
The radiographic findings are compatible with metastatic lung disease. Theoretically
primary or secondary lung neoplasia, fibrotic nodules or granulomatous lung disease
are possible differential diagnoses, but a low potential in this case. Final diagnosis would require CT guided sampling but this is anticipated to be challenging as the
nodular changes are rather small.
Moreover, there are signs of chronic airway disease such as allergic or infectious (viral
and/or bacterial, less likely fungal or parasitic) bronchitis.
With the current radiographic changes the bronchial airway disease is more likely to be
the underlying cause to the clinical presentation. Consider symptomatic treatment
versus bronchoscopy with bronchoalveolar lavage
