This week we have an 8 year old female West Highland White Terrier with a 4-6 month history of respiratory distress. Take a look and post your interpretations.
8 year old West Highland White Terrier
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Diffuse, severely increased lung opacity in all lung fields. The breed and right heart enlargement makes idiopathic pulmonary fibrosis probable to me (ddx: parasitic pneumonia?).
Overall lung opacity is increased with diffuse interstitial pattern. The pulmonary vasculature is not well visualized due to lung changes. Right sided cardiomegaly is seen. With given signalment, history, and radiographic findings, it is likely idiopathic pulmonary fibrosis and cor pulmonale. lung bx is recommended for definitive diagnosis.
Diffuse and severe interstitial pattern, right side cardiomegaly.
Most likely pulmonary fibrosis with secondary pulmonary hypertension.
Very good! Can anyone relate the abdominal and soft tissue findings to a treatment that the dog might be on?
There is a good contrast between the abdominal organs, probably due to lipidic accumulation in abdominal cavity. There is also hepatomegaly. Both findings could be associated to glucocorticoid therapy leading to steroid hepatopathy and increase in abdominal fat.
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