2 year old male neutered German Shepherd with one week history of lethargy. What is causing the lethargy?
There is diffuse increased soft tissue opacity in the thorax with fissure lines and retraction of the lung lobes. The cardiac silhouette is markedly enlarged and globoid in appearance. The pulmonary vasculature appears normal. There is increased opacity in the ventral lung lobes on the lateral projections. There is a mild loss of peritoneal detail in the portion of the abdomen included.
- Pericardial and pleural effusion (hemorrhage, transudate, exudate)
- Peritoneal effusion may be secondary to right heart failure
- Septic pericarditis secondary to migrating plant material.
On contrast enhanced CT, there is fluid both in the pleural space and pericardial space. The pericardium is strongly contrast enhancing. There is an enhancing mass on the right ventral aspect of the pericardium and pleural space representing the granuloma surrounding the plant foreign body.