Today’s case is a 4 year old Labrador Retriever with a complicated history of heat stroke and pneumonia diagnosed 1 week ago, and respiratory distress and pyothorax with pneumothorax diagnosed yesterday. It’s a challenging thoracic case so take a look and make your own interpretations. Answers will be available on Monday.
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Bilateral pneumothorax. All the lungs lobes are separated from the thoracic wall and more radiopaque. The heart shape is irregular and sullevated from the sternum. After the drainage is visible a soft tissue opacity in the caudal portion of the cranial right lobe and right middle lobe. There is an increase soft tissue opacity on the second sternebra, possible secondary to the increased dimension of the sternal lymphonode. At the Computed tomography study of the thorax there is something visible whitin the right cranial bronchus. The imaging study is suspicious of pneumothorax and pyothorax secondary to an aspiration of a vegetable foreign body (es fox tail seed…)
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