This is a 10 yr old pom with a long history of cough related to tracheal collapse. Mostly well controlled with hydromet. Since Nov the cough has been persistent not as responsive. Rads in Nov showed a hint of abnormality near la. Owner returned today new rads still show questionable area near la. did not echo yet but looked at la for size. It just ain’t right to me! I might be looking too hard your thoughts?
This is a 10 yr old pom with a long history of cough related to tracheal collapse. Mostly well controlled with hydromet. Since Nov the cough has been persistent not as responsive. Rads in Nov showed a hint of abnormality near la. Owner returned today new rads still show questionable area near la. did not echo yet but looked at la for size. It just ain’t right to me! I might be looking too hard your thoughts?
Comments
The la/ao is normal
The la/ao is normal (eyeballing 1.15 is june boon and 1.3 in heart base) so the cough is not cardiogenic and in the rad there is superimposition of the cvc over the base of the left atrium. Prominent right heart that is normal for a chronic respiraory dog. If you ensure the av is present in the ao when comparing the ao and la then the ratios can be assessed more precisely as attached image form peter and the normals dvd.
http://sonopath.com/products/normal-echo-abdominal-sonograms-normal-age-related-changes
Your angle of the LA may make it seem a little big but if you get the av in there well the ratios make more sense.
Nice post
Thanks.I wish the video
Thanks.I wish the video worked that’s what caught my eye. For lack of a better description the la seemed “stiff”. She’s an airway patient for sure I probably am over thinking it. Good advise !
The la/ao is normal
The la/ao is normal (eyeballing 1.15 is june boon and 1.3 in heart base) so the cough is not cardiogenic and in the rad there is superimposition of the cvc over the base of the left atrium. Prominent right heart that is normal for a chronic respiraory dog. If you ensure the av is present in the ao when comparing the ao and la then the ratios can be assessed more precisely as attached image form peter and the normals dvd.
http://sonopath.com/products/normal-echo-abdominal-sonograms-normal-age-related-changes
Your angle of the LA may make it seem a little big but if you get the av in there well the ratios make more sense.
Nice post
Thanks.I wish the video
Thanks.I wish the video worked that’s what caught my eye. For lack of a better description the la seemed “stiff”. She’s an airway patient for sure I probably am over thinking it. Good advise !
We will check into the video
We will check into the video upload issue. Please email us at info@sonopath.com to describe what happened on your end. Regards
We will check into the video
We will check into the video upload issue. Please email us at info@sonopath.com to describe what happened on your end. Regards
Just wondering if what is
Just wondering if what is seen superimposed over the LA in the lateral view is a mass/nodule or enlarged hilar lymph node? The trachea appears elevated at the heart base in this view. Could this be the non-cardiogenic cause of the cough?
That is part of the concern
That is part of the concern and prompted just looking at the heart base with U/S. The lateral rad is from March she had the same done in Nov with same result. The v/d here is from the Nov set of films.Also on the video it just doesn’t look quite normal to me adjacent to the LA??? Did that seem abnormal to you?
Just wondering if what is
Just wondering if what is seen superimposed over the LA in the lateral view is a mass/nodule or enlarged hilar lymph node? The trachea appears elevated at the heart base in this view. Could this be the non-cardiogenic cause of the cough?
That is part of the concern
That is part of the concern and prompted just looking at the heart base with U/S. The lateral rad is from March she had the same done in Nov with same result. The v/d here is from the Nov set of films.Also on the video it just doesn’t look quite normal to me adjacent to the LA??? Did that seem abnormal to you?
I do not see any mass or
I do not see any mass or effusion in the video clips. Only the prominent RV which may suggest some degree of pulmonary hypertension assoicated with chronic lung disease (tracheal collapse). I agree with EL that the LA:AO is WNLs. Were you able to get a left cranial long axis view of the LVOT. Or a short axis view of the RA on same side? A heart base tumor may reveal itself there. My impression based on the how the lat rad abnormality looks is that the lesion is pulmonary in nature (ie: surrounded by air in the lung).
I do not see any mass or
I do not see any mass or effusion in the video clips. Only the prominent RV which may suggest some degree of pulmonary hypertension assoicated with chronic lung disease (tracheal collapse). I agree with EL that the LA:AO is WNLs. Were you able to get a left cranial long axis view of the LVOT. Or a short axis view of the RA on same side? A heart base tumor may reveal itself there. My impression based on the how the lat rad abnormality looks is that the lesion is pulmonary in nature (ie: surrounded by air in the lung).
We held off on the echo
We held off on the echo pending posting this we will get her back to do that. I pulled all her fims and the only other films we have lateral chest are fromm 2008 and the area in quetion is not present. We will get her in and explore further then I will update if anything curious is found . Thanks
We held off on the echo
We held off on the echo pending posting this we will get her back to do that. I pulled all her fims and the only other films we have lateral chest are fromm 2008 and the area in quetion is not present. We will get her in and explore further then I will update if anything curious is found . Thanks