- 10 year old mn Golden Retriever presented 5 months ago for possible pleural effusion seen on routine senior chest radiographs
- Initial thoracic ultrasound showed a minute amount of effusion, too small to tap. Follow up ultrasound and rads done 1-2 weeks later showed resolution of the pleural effusion.
- Follow-up radiographs done yesterday showed recurrent pleural effusion with a radio-opacity in the right middle lung field betwen the heart and chest wall. The primary differential is bronchogenic carcinoma, although fungal cannot be ruled out.
- 10 year old mn Golden Retriever presented 5 months ago for possible pleural effusion seen on routine senior chest radiographs
- Initial thoracic ultrasound showed a minute amount of effusion, too small to tap. Follow up ultrasound and rads done 1-2 weeks later showed resolution of the pleural effusion.
- Follow-up radiographs done yesterday showed recurrent pleural effusion with a radio-opacity in the right middle lung field betwen the heart and chest wall. The primary differential is bronchogenic carcinoma, although fungal cannot be ruled out.
- Today’s ultrasound shows pleural effusion in the ventral right thorax adjacent to the heart. Fibrin strands are present. There is also an echogenic density in the pleural space that is moving with the heart and appears to be attached to the pericardial sack by a small tag.
- What does this? Blood clot? Mesothelioma?
Comments
slow developing neoplasia,
slow developing neoplasia, idiopathic, lung lobe torsion partial to full, pleuritis. tap and cytospin with immediate slide prep to check for neoplasia and scan abdomen for a primary.