• Home
  • About
  • Articles
  • Books
  • Contact

Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

  • Modality
    • Radiographs
    • Ultrasound
    • CT/MRI
  • Region
    • Thorax
    • Abdomen
    • Musculoskeletal
    • Neurologic
  • Species
    • Canine
    • Feline
    • Equine
    • Exotic

10 year old Greyhound

July 18, 2019 By Allison Zwingenberger

This week’s case is a 10-year-old female neutered Greyhound with 2-week history of decreasing appetite and energy. It’s a challenging one. What are your findings?

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

Findings

Left and right lateral, ventrodorsal, and dorsoventral radiographs are available for review. There is moderate pleural effusion present with rounding and retraction of the lung lobes. In addition, there is a mass effect between the cardiac silhouette and the diaphragm in the caudoventral thorax. This appears to be a mass in the right caudal lung lobe on the ventrodorsal projection. The region of the accessory lung lobe also appears more opaque. There are small gas bubbles visible on the right lateral projection which may be in the pleural space or within the mass. There is a triangular shaped projection at the left cranial cardiac silhouette on the ventrodorsal projection which may represent a reverse fissure line, indicating fluid in the mediastinum. The crannial a mediastinum appears widened on the dorsoventral projection.
Show differential diagnosis…

Differential Diagnosis

  • Suspected right caudal lung lobe mass, +/- accessory lobe with pleural effusion (Pulmonary abscess, pneumonia due to migrating grass awn, with pyothorax). Other differentials could include granuloma, neoplasia with secondary effusion but are less likely.
  • Mediastinal widening – mediastinal fluid, abscessation, lymphadenopathy, mass
Show diagnosis…

Diagnosis

  • On CT examination, the suspected lung lobe mass was found to be an abscess in the caudal mediastinum. There were multiple areas of focal consolidation at the periphery of the lung, suspicious of foreign body migration. The contrast enhancing tracts and gas extended into the retroperitoneal space (CT images)
  • The mediastinal tissue was resected at surgery, along with an adherent portion of the left caudal lung lobe. A laparotomy was also performed to excise the abscessed tissue in the epaxial muscles.
  • Pyothorax, pyogranulomatous mediastinitis, diffuse consolidating pneumonia with bacteria and fibrosis. Presumed secondary to inhaled grass awn migration.
POST_CONTRAST
gas_migration_track
migration_track

Filed Under: Canine, Case of the Day, CT/MRI, Radiographs, Thorax

Comments

  1. carol says

    October 12, 2019 at 6:17 am

    why did you suspect a mass and not an hernia?

  • Bloglovin
  • Facebook
  • RSS
  • Twitter
AtlasCover787x1024 amazon-availablenow

Veterinary Radiology News

Sign up for alerts about new cases and newsletters.

We will respect your privacy.

Archives

Recent Comments

Tags

abscess adenocarcinoma bronchiectasis carcinoma cardiomyopathy coccidioidomycosis discospondylitis elbow dysplasia eosinophilic bronchopneumopathy erosive polyarthritis feline infectious peritonitis FIP foreign body fracture gastric dilation gastric foreign body gastrointestinal GDV heart failure hemangiosarcoma hiatal hernia histiocytic sarcoma hypertrophic cardiomyopathy intestinal foreign body linear foreign body lymphoma megaesophagus osteochondrosis osteomyelitis osteosarcoma patent ductus arteriosus PDA pericardial effusion pneumonia pneumothorax polyarthritis PPDH pulmonary pulmonary abscess pulmonary adenocarcinoma pulmonary carcinoma sarcoma thymoma tracheal collapse vascular ring anomaly

Copyright © 2025 · Metro Pro Theme On Genesis Framework · WordPress · Log in