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Veterinary Radiology

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8 year old West Highland White Terrier

June 15, 2017 By Allison Zwingenberger

This week we have an 8-year-old female West Highland White Terrier with a 4-6 month history of respiratory distress. Take a look and post your interpretations.

Show findings...

Findings

There is a diffuse alveolar pattern that is most severe caudodorsally. There is moderate generalized cardiomegaly with primarily right sided enlargement. The pulmonary vessels are difficult to identify due to the pulmonary infiltrates. The liver is mildly enlarged. There is good abdominal serosal detail. There is linear mineralization in the soft tissues dorsal to the spine.

Show differential diagnosis…

Differential Diagnosis

  • Pulmonary fibrosis
  • Non cardiogenic edema
  • Neoplasia
  • Hepatomegaly
  • Calcinosis cutis

Show diagnosis…

Diagnosis

  • Presumed pulmonary fibrosis of West Highland White Terriers
  • Iatrogenic Cushing’s

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

Comments

  1. Pablo Barge says

    June 15, 2017 at 4:30 pm

    Even though pulmonary vessels are not visible, would you also include cor pulmonale together with pulmonary fibrosis as a differential in this case with these findings? Thank you!

  2. logan says

    July 4, 2017 at 2:32 pm

    Is there a way to evaluate liver size? Like we use L2 to evaluate the kidneys, or the VHS system to evaluate the heart?

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