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This 15 year old FS West Highland Terrier was presented with a history of collapsing, tremors and hypertension; currently being treated with Amlodipine. Suspect right lung collapse or pneumonia.
BP 130mmHg
This 15 year old FS West Highland Terrier was presented with a history of collapsing, tremors and hypertension; currently being treated with Amlodipine. Suspect right lung collapse or pneumonia.
BP 130mmHg
Rads of thorax, right lateral, left lateral and VD: The views were obtained in moderate inspiration. The osseous structures showed there was moderate generalized decrease in bone opacity which likely is a function of the age of the patient. Moderate degenerative changes were present at the sternum. The extrathoracic soft tissue structures showed there was a redundant cervical tracheal membrane which is an incidental finding.
Intrathoracic structures showed a cardiac silhouette with mild cranial rotation and mildly broadened sternal contact. A bulging was noted level with the main pulmonary artery. The pulmonary vessels were thin. There was a moderate generalized bronchial pattern with mild peribronchial cuffing, bronchial wall mineralization and cylindrical as well as saccular bronchiectasia. Moreover multiple incidental pulmonary osteomas/pleural plugs were seen.
If there is lack of response to symptomatic treatment, a bronchoscopy with bronchoalveolar lavage and lungworm testing is recommended. The changes associated with the cardiac silhouette likely are a function of exposure during systole. The potential for pulmonic stenosis is mild and should be investigated further with echocardiography in case of clinical signs/presence of a murmur.
