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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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9 year old DSH

February 11, 2021 By Allison Zwingenberger

This week’s case is a 9-year-old female neutered cat with an acute episode of coughing. Take a look and post your interpretation in the comments section.

R LAT Thorax
L LAT Thorax
VD Thorax
Show findings...

Findings

There is consolidation of the right middle, right caudal and accessory lung lobes. The bronchus to the right middle and right caudal lung lobes. There is a small amount of pleural effusion. The right caudal bronchus is not well identified particularly on the VD projection.

Within the abdomen, there is a soft tissue mass at the greater curvature of the stomach, visible on all three projections. The mass is outlined by air within the gastric lumen.
Show differential diagnosis…

Differential Diagnosis

  • Atalectasis of right middle, caudal and accessory lung lobes – likely due to bronchial obstruction from a pulmonary mass.
  • Gastric mass – DDx primary with pulmonary metastasis, separate pulmonary and GI masses.
Show diagnosis…

Diagnosis

Gastric and jejunal adenocarcinoma with metastatic spread to the lung.
The right middle lung lobe has been infiltrated by a tan mass (top of image). The right caudal and accessory lung lobes are collapsed. There is a blood clot adherent to the lung that was present in the pleural space.
Lung Pathology

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

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