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.
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.
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.
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.
