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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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5 year old DSH cat

December 28, 2015 By Allison Zwingenberger

Today’s case is a 5 year old female neutered domestic short hair cat with lethargy and anorexia. Take a look at the images and post your comments!

L LAT Thorax
R LAT Thorax
DV Thorax

Show findings...

Findings

The heart is markedly small and lifted off of the sternum. The pulmonary vasculature as well as the aorta and caudal vena cava are also reduced in size. The pulmonary structures appear within normal limits. Within the viewable abdomen the liver appears enlarged, extending past the costochondral arches.

Show differential diagnosis…

Differential Diagnosis

  • Hypovolemia (secondary to systemic illness)
  • Hepatomegaly (inflammatory, infectious, metabolic)

Show diagnosis…

Diagnosis

  • Hypovolemia – 5-7% dehydrated on clinical examination
  • Hepatic lipidosis

Show discussion…

Discussion

When circulating blood volume is reduced through blood loss, dehydration, or shock, the cardiac and vascular structures in the thorax can appear small on radiographs. In this case, the heart is small, giving the appearance of “lifting” from the sternum. The shape of the heart is also often more angular and less rounded than usual. The pulmonary vessels, aorta, and caudal vena cava are small. The reduced pulmonary circulation also makes the lungs appear more lucent. In this case, the hepatic lipidosis was the primary disease with secondary dehydration.

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

Comments

  1. Dr RAHUL DANGI says

    January 2, 2016 at 3:07 am

    Heart displaced caudally and lifted off from sternum. Hepatomegaly is seen.

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