Non-cardiogenic Pulmonary Edema

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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.

Comments

rlobetti

A possiblity would be acute

A possiblity would be acute pulmonary edema secondary to electrocution by chewing an electical cord.

EL

Hmmm not looking like typical

Hmmm not looking like typical pulmonary edema to me even though sudden onset Im thinking lung neoplasia here, PTE potential… maybe scan the abdomen and see if anything there then fna a consolidation near the rib cage looks like running 7-9 IC right or left side should give you a target to stick judging by the VD Rad. La/ao normal so not a cardio thing. Cryptococcus potential??

Pankatz

I agree the edema looks

I agree the edema looks patchy or even mass-like but I did not find anything mass-like running all of the ribs up and down on both sides of the chest that I would target for an FNA.

Wouldn’t neoplasia be unlikely in a 10 wk old kitten?

What are you thoughts on the structure at the diaphragm in the last clip?

Thanks

JP

 

 

 

EL

oh right Im sorry I read this

oh right Im sorry I read this out as 10 year old… lol.

well larval migrans passed from the mother, infectious of course… that looks like a lung consolidation adjacent to the liver wiht shower curtain alveolar pattern adjacent to it.

When running the ribs sometimes its up really dorsal til you get anything and find the shower curtain pattern and angle into it til you get consolidation… use manual pressure as well and 25g anything you can find solid.

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