Severe Pleural Effusion

Sonopath Forum

Severe Pleural Effusion

– 4 year MN Collie cross with history of a cough that started about 1 week

– rDVM placed pet on a compounded cocktail of pred and tetracycline which helped the cough

– pet presented  today tachypneic

– chest rads showed pleural effusion; thoracocentesis approx. 2.5 L of turbid, floculent fluid pink/tan in colour; pet remained tachypneic despite fluid removal

– in house cytology neutrophils, no bacteria seen

– bloodwork: moderate neutrophilia

– 4 year MN Collie cross with history of a cough that started about 1 week

– rDVM placed pet on a compounded cocktail of pred and tetracycline which helped the cough

– pet presented  today tachypneic

– chest rads showed pleural effusion; thoracocentesis approx. 2.5 L of turbid, floculent fluid pink/tan in colour; pet remained tachypneic despite fluid removal

– in house cytology neutrophils, no bacteria seen

– bloodwork: moderate neutrophilia

Chest ultrasound: echogenic pleural effusion and lung hepatization seen in right and left lung lobes; highly irregular lung lobe surface seen in the right middle lung lobe region with multiple hyperechoic foci gas pockets. Was not able to use colour Doppler due to tachypnea

Differentials?  pyothorax and pneumonia, lung lobe torsion, neoplasia?

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