Looking for the lung lesions

Sonopath Forum

Looking for the lung lesions

  • 9 yr old FS DSH presented for anorexia
  • Chest radiographs showed an alveolar pattern in both cranial lung fields and the caudal right lung field
  • Radiology report indicated pneumonia as the most likely differential  and neoplasia less likely
  • The patient was started on Zenequin and later prednisone
  • FNA’s of the lung lesions were requested
  • I could not find any pleural or pulmonary abnormalities, the lung-pleural interface appeared normal
  • I saw a triangular wedge of tissue near the heart base but suspect this is fat
    • 9 yr old FS DSH presented for anorexia
    • Chest radiographs showed an alveolar pattern in both cranial lung fields and the caudal right lung field
    • Radiology report indicated pneumonia as the most likely differential  and neoplasia less likely
    • The patient was started on Zenequin and later prednisone
    • FNA’s of the lung lesions were requested
    • I could not find any pleural or pulmonary abnormalities, the lung-pleural interface appeared normal
    • I saw a triangular wedge of tissue near the heart base but suspect this is fat
    • I am also including a pic (3rd still below) that shows a hypoechoic structure outside the chest cavity on the cranial right lateral thorax….just wondering what this is…lymph node? 
    • Owner reports cat is doing better although most recent radiographs show no improvement
    • I did FNA’s anyways in the regions where I could see lesions on the radiographs.  Cytology is pending.
    • Am I missing something here?

     

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