- 9 year old FN CKCS presented with cough and dyspnoea, mild pyrexia and apparent pain
- Treated with antibiotics, fenbendazole, pimobendan prior to scan
- Radiographs showed mild bronchointerstitial pattern and possible tortuous caudal pulmonary vessels
- Scan showed mild MVD (suspect insignificant), right sided dilation, pulmonary hypertension but also mild pericardial effusion
- I suspect primary pulmonary disease causing pulmonary hypertension but I am not sure how the pericardial effusion fits in, any ideas?
- 9 year old FN CKCS presented with cough and dyspnoea, mild pyrexia and apparent pain
- Treated with antibiotics, fenbendazole, pimobendan prior to scan
- Radiographs showed mild bronchointerstitial pattern and possible tortuous caudal pulmonary vessels
- Scan showed mild MVD (suspect insignificant), right sided dilation, pulmonary hypertension but also mild pericardial effusion
- I suspect primary pulmonary disease causing pulmonary hypertension but I am not sure how the pericardial effusion fits in, any ideas?
Comments
PC effusion 85% of the time
PC effusion 85% of the time or so is owing to neoplasia. Tap the pc and cytospin for cytology unless frank blood but i would scan the abdomen looking for hemagiosarcoma type lesions first as this may be a met manifestation from abdominal hsa. Also check the abdominal CVC/AO ratio for passive congestion to see if right failure is present. Needs a probe south of the diaphragm as next step. LA tear can do this but the LA looks fine to me and LA tear causes pc effusion on the left first and if lives long anough extends to the right heart pericardium in my experience.