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Curious Rads

Sonopath Forum

These are rads from a 14 year old Mini Aussie who presented for acute (per owner) onset of cough and respiratory difficulty.  She was tachypneic, cyanotic, and had harsh lung sounds and a III/VI murmur.  She was not febrile.  She did cough up some foamy blood tinged froth.  

These were read by our radiology service but they really couldn’t give a diagnosis.  

These are rads from a 14 year old Mini Aussie who presented for acute (per owner) onset of cough and respiratory difficulty.  She was tachypneic, cyanotic, and had harsh lung sounds and a III/VI murmur.  She was not febrile.  She did cough up some foamy blood tinged froth.  

These were read by our radiology service but they really couldn’t give a diagnosis.  

Is it possible t hat this is CHF in a dog with chronic lung pathology?  I have doubts that this dog had no respiratory symptoms prior to this episode, but don’t know as she hadn’t been to a vet since she was a puppy.

Travel history limited to the Pacific NW and as far south as Sacramento. 

 

Comments

EL

Cardiomegaly here and diffuse

Cardiomegaly here and diffuse alveolar pattern. Id be concerned for metstatic lung disease and maybe pericardial effusion. The lung pattern isnt typical of CHF and wet lung as that starts tapering from the caudal medistainum and the lung vasculature doesnt support that. Let me see if Dr. Ondreka can comment.

Echocardiogram and abdominal ultrasound is what i woud do next looking for primary badness.

jas

Thanks, Dr Lindquist,
we were

Thanks, Dr Lindquist,

we were thinking this might be neoplastic.  The mineralization makes it difficult to read. Poor little dog!  jas 

rlobetti

Other possiblites would be

Other possiblites would be fungal disease and anthracosis.

jobrag

Thoracic wall ultrasound

Thoracic wall ultrasound could be useful to get a sample for metastatic disease