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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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10 year old Husky

August 3, 2015 By Allison Zwingenberger

Today’s case is a 10 year old male neutered Husky cross with difficulty breathing and cough for a few days. Post your comments below.

R LAT Thorax
L LAT Thorax
VD Thorax
VD Thorax

Show findings...

Findings

There is marked ventral and leftward displacement of the trachea. Both the cranial and caudal mediastinum is widened on the d/v projection.
There is near complete lysis of the right 4th rib, visible on the lateral and v/d projections. The pleura of the right hemithorax appears irregular, resulting in an undulating lung border on that side, overlying the 5th , 6th, and 7th ribs. The 3rd-5th ribs on the right are widened and displaced.
There is moderate pleural effusion and air bronchograms on the left lateral projection, indicating atelectasis or infiltration of the right cranial and right middle lung lobes.

Show differential diagnosis…

Differential Diagnosis

Mediastinal masses, rib mass, possible pleural masses and pleural effusion.

  • Osteosarcoma with pleural and mediastinal metastasis
  • Histiocytic sarcoma or other round cell neoplasia
  • Fungal disease is less likely

Show diagnosis…

Diagnosis

CT scan revealed lysis of the right 3rd rib and part of the associated vertebral body, dorsal mediastinal mass with heterogeneous contrast enhancement, multiple pleural nodules, sternal lymphadenopathy, and multifocal pulmonary nodules throughout lungs.
Osteosarcoma was diagnosed by immunohistochemistry.

 

Case originally posted on November 20, 2008

Filed Under: Canine, Case of the Day, Radiographs, Thorax

Comments

  1. vet74 says

    November 23, 2008 at 6:23 pm

    There is pleural effusion.
    On the lateral view the trachea is pushed ventrally.
    Mass effect in the cranial thorax, mostly the right side- at the area of the base of the heart.
    A staple is seen in the right side of the thorax- probably in the skin.
    The diaphragm can not be seen.
    Few air-bronchograms are visible in the left lateral view.

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