Today’s case is an 8 year old FS DSH cat who is lethargic, has weight loss, and an increased respiratory rate for 3 days. Take a look and post your comments below!
8 year old FS DSH cat
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There is a moderate amount of pleural effusion, and air containing structures are seen over the cardiac silhouette. the ventral outline of the diaphragm is not seen. Diaphragmatic hernia or peritoneo-pericardial hernia is suspected
Bilateral pleural effusion and some amount of free gas in pleural space (pneumo-liquidothorax) or strange gas containing structures. On DV view there is slightly visible mediastinal shift, probably because of a mass effect from the other side (radiopaque structure in cranial lung lobe or pleural space). Air bronchogram in cranial and middle lung lobes (middle seems to be atelectatic on the heart silhouette on lateral view, cranial – consolidtated/atelectatic).
I’d perform thoracic ultrasound, thoracocentesis and thoracic x-ray once again.
DDX: cranial lung lobe tumor/abscess etc. perforating bronchus; bronchial foreign body; lung lobe torsion.
Difficult radiogram
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