Today’s case is an 8-year-old female neutered terrier mix with chronic cough and respiratory distress. History of lifelong respiratory problems. What are your findings?
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“Abscess, bulla, or cyst of the accessory lung lobe”
I believe an abscess or cyst should not have been given as differential diagnoses as a bulla was really the only possibility given the opacity of the affected region (air opacity and not fluid/soft tissue opacity).
There is some soft tissue opacity within the cavitary lesion on the left lateral projection suggesting partial fluid filling. This along with the likelihood of an inflammatory condition given the diffuse bronchial disease makes abscess and cyst differential diagnoses. This lesion was inflammatory and contained fluid on CT examination.
Ok I see your point. The radiographic findings don’t mention fluid opacity within the air filled space with no pulmonary markings but I see it was proven by CT that there was some dependant fluid within the predominantly air-filled cyst.