This 8 year old MN canine mix has a history of anorexia and intermittent vomiting; 4 # weight loss in one month. Restless and increased respiratory effort at night.
CBC/Chem: ALKP 136
This 8 year old MN canine mix has a history of anorexia and intermittent vomiting; 4 # weight loss in one month. Restless and increased respiratory effort at night.
CBC/Chem: ALKP 136
The lung presents an overall increase in interstitial opacity with obscured pulmonary vessels. Pleural fissure lines and mild rounding of the lung lobe margins is noted. There is an increased opacity in the perihilar region obscuring the cardiac silhouette with steep ventral dip of the carina. As far as assessable the heart appears to be of normal size and shape. The caudal vena cava and lobar pulmonary vessels are thin. The caudal thoracic esophagus is mildly dilated with gas and fluid.
There is a central abdominal mass effect caudal to the stomach associated with the intestine and a regional decrease in serosal detail. The stomach and part of the small intestine is mildly dilated with fluid and gas. The spleen is volume contracted.
• mid-abdominal mass effect with regional peritonitis and mechanical subileus with partial small intestinal, gastric and esophageal congestion
• interstitial lung pattern and possible tracheobronchial lymphadenomegaly – infiltrative lung disease versus reactive non-cardiogenic edema
• hypovolemia
• emerging pleural effusion
There is a potential for round cell neoplasia causing the abdominal findings as well as the interstitial infiltrate of the lung and the possible lymphadenopathy.
