A 5-year-old MN Beagle was presented for continued cough after having been diagnosed with kennel cough at another clinic. Antibiotics and Tussigon were not helping, so the owners went for a second opinion. Thoracic radiographs showed plueral effusion so a cardiac scan was ordered, followed by a chest tap.
A 5-year-old MN Beagle was presented for continued cough after having been diagnosed with kennel cough at another clinic. Antibiotics and Tussigon were not helping, so the owners went for a second opinion. Thoracic radiographs showed plueral effusion so a cardiac scan was ordered, followed by a chest tap.
I was able to scan the heart without issue, however some of the video clips were indeed strange to me, like those “streamers” in between the liver and heart. (See video clips) What are those?
Here is our good, although sick buddy “Ricky” during his tap.
Chylous effusion was pulled off the right side of the patient.
Comments
I don’t know for sure but the
I don’t know for sure but the tap looks like a pyothorax.
Could it be fibrin, clot or pus – in the pleural space. Cool images.
I don’t know for sure but the
I don’t know for sure but the tap looks like a pyothorax.
Could it be fibrin, clot or pus – in the pleural space. Cool images.
The ireregular pleura occus
The ireregular pleura occus with fibrin and i dont see an over mass. Ideally this is a CT case but you can look for primary tumor evidence in the abdomen as chyle is coming from the throacic duct so t duct perf and pathology is the primary concern vs idiopathic chylous effusion which can be chronic. You transdiaphragmatic view was good but you can flatten out the probe on the belly more and get every angle through the diaphragm into the caudal thorax using the CVC as a template as the t-duct runs along with it. A lot of times you can get a tumor this way int he caudal chest.
Other option is to open the chest and surgically address any t-duct pathology but screen the abdomen first for pathology that may be related. Nice post!
The ireregular pleura occus
The ireregular pleura occus with fibrin and i dont see an over mass. Ideally this is a CT case but you can look for primary tumor evidence in the abdomen as chyle is coming from the throacic duct so t duct perf and pathology is the primary concern vs idiopathic chylous effusion which can be chronic. You transdiaphragmatic view was good but you can flatten out the probe on the belly more and get every angle through the diaphragm into the caudal thorax using the CVC as a template as the t-duct runs along with it. A lot of times you can get a tumor this way int he caudal chest.
Other option is to open the chest and surgically address any t-duct pathology but screen the abdomen first for pathology that may be related. Nice post!
Thanks, very sweet dog,
Thanks, very sweet dog, bummer he is not well. But that fibrin looked like Mount Vesuvius! 🙂
Thanks, very sweet dog,
Thanks, very sweet dog, bummer he is not well. But that fibrin looked like Mount Vesuvius! 🙂
Here is a follow up for this
Here is a follow up for this case that was scanned a few weeks ago.
The patient went to a specialty vet for MRI which was inconclusive. Since that time his RDVM has had to drain him once a week to keep him breathing comfortably. So far idiopathic, the owner is considering surgery to assess the thoracic duct.
Here is a follow up for this
Here is a follow up for this case that was scanned a few weeks ago.
The patient went to a specialty vet for MRI which was inconclusive. Since that time his RDVM has had to drain him once a week to keep him breathing comfortably. So far idiopathic, the owner is considering surgery to assess the thoracic duct.