This is 9 yr old dsh with history of cough. he has had neg hwt and lungworm tests. he was cultured positive for borditella and treated based on c/s . he responded to antibiotics but cough returns. a radiologist review described diffuse bronchial thickening, small densitiy thought to be mucous plug. one area left cranial lobe that was nodular.the patient was referred today for fna of this l cr lobe. the image is what i see in l cr lobe just before heart. i did not stick this today. I’m not convinced it’s a worthy endeavor. I haven’t fna’d diffuse change how are the diagnostic yields?

This is 9 yr old dsh with history of cough. he has had neg hwt and lungworm tests. he was cultured positive for borditella and treated based on c/s . he responded to antibiotics but cough returns. a radiologist review described diffuse bronchial thickening, small densitiy thought to be mucous plug. one area left cranial lobe that was nodular.the patient was referred today for fna of this l cr lobe. the image is what i see in l cr lobe just before heart. i did not stick this today. I’m not convinced it’s a worthy endeavor. I haven’t fna’d diffuse change how are the diagnostic yields? also the video of the heart is included i think i may see some fat at right atrium??Thanks