Today’s case is a 4-year-old male neutered Brittany Spaniel with lethargy, coughing, and difficulty breathing.
4 year old Brittany Spaniel
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Teaching and learning about veterinary diagnostic imaging.
Hi Alison, I have a question if you don’t mind: pyloric part of stomach is displaced cranially on lateral view.Does is always suggest decreased liver size?
There is radiopaque material in gastric lumen on all xrays, is it clinically relevant?Could it be lead or other toxic material that didn t cause acute onset but chronic process that caused coagulopathy abnormalities due to liver failure?Thank you. Regards
Anna
I agree the deep chested conformation is causing some changes in the gastric position. However, the stomach is normally positioned on the other lateral and I can see liver beyond the costal arch, so the liver isn’t small. There is some gastric foreign material, and that is worth considering in this type of case. Zinc toxicity (from pennies) can cause anemia but not usually hemorrhage.
Thank you very much for your reply and time Alison.