This week’s case is a 9 year old male neutered German Shepherd cross with chronic cough. What’s your interpretation? Post it in the comments section. Questions? Post them too!
9 year old German Shepherd with cough
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{ 4 comments… read them below or add one }
This is a tuffie!
There is a diffuse broncho-interstitial pattern.
On the lateral views the heart looks too wide for a German Shepperd, which can indicate enlargement of the right side.
The pulmonary arteries are quite prominent.
Looks like a chronic airway disease (allergic most likely) with possible pulmonary hypertension.
Broncho-alveolar lavage woul be helpful, and echocardiography with Doppler to asses the pressure of the pulmonary a.
There is severe bronchointerstitial pulmonary pattern that obscures the visualization of the pulmonary vasculature. The cartilage of the bronchi are mineralized wich are also mildly enlarged (bronchiectasia?). It seems to me a case of pulmonary fibrosis maybe secondary to a chronic bronchitis (idiopatic? allergic?).
The cardiac silhouette shows the right side with the dimensions increased (mainly the right ventriculus – cor pulmonale?).
Can we exclude dextrocardia in this case ? Why is the cardiac silhouette not in direct contact with the sternum ?
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