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Non-cardiogenic Pulmonary Edema

Sonopath Forum

Non-cardiogenic Pulmonary Edema

– 10 week old M, 1kg Rag Doll referred for an echo due to an acute onset of respiratory distress

– this came from a breeder so she was concerned about the possibility of  congenital heart disease

– no previous history of URI and all cats in the cattery showing no signs of illness at this time; littermates are fine

– chest rads show evidence of pulmonary edema, mild plerual effusion and large but normally marginated liver; there is evidence of a possible healing rib fracture at the 10th rib on the right side (the lat chest rad won’t upload for some reason)

– 10 week old M, 1kg Rag Doll referred for an echo due to an acute onset of respiratory distress

– this came from a breeder so she was concerned about the possibility of  congenital heart disease

– no previous history of URI and all cats in the cattery showing no signs of illness at this time; littermates are fine

– chest rads show evidence of pulmonary edema, mild plerual effusion and large but normally marginated liver; there is evidence of a possible healing rib fracture at the 10th rib on the right side (the lat chest rad won’t upload for some reason)

– although tough to get good images on this one, I think it is fair to say that the heart appears normal thus ruling out cardiogenic pulmonary edema as there is no LAE. The aorta and pulmonary max vel were wnl.

– running the ribs, there are infinite lung rockets seen and the pleural surface looks slightly roughened; no distinct masses were seen

– looking through the liver into the chest cavity emerging through the diaphragm, I did identify an unusual structure but not sure if it is pathologic (last clip). Any idea what it is? It doesn’t look like a blood vessel. Esophagus? Other?

The patient unfortunatley passed away about 8 hours later. Could this be ARDS, pneumonia, trauma? I have recommended a PM but unsure if the breeder is going to invest in this.