Today’s case is a 6 year old male neutered Labrador Retriever with cough and lethargy. What are your next steps?
A chest tube is present in the left hemithorax. There is retraction of the lung lobes bilaterally and the cardiac silhouette appears “lifted” from the sternum. There are multiple thin radiopaque lines in the ventral thorax. There is a thin walled triangular structure in the cranial thorax best seen on the left lateral projections. On the dorsoventral projection, there is a focal alveolar opacity in the left caudal lung lobe.
- Pneumothorax, possibly secondary to foreign body migration and pneumonia
- Possible bulla, abscess, or pleural thickening of the cranial lung lobe (left or right).
- Left cranial lobe abscess with necrosis
- Left caudal lobe coccidiodomycosis (possibly due to migrating foreign body)
A CT was performed, and the left cranial and caudal lung lobes were surgically resected.
Left cranial lung lobe abscess.
Left caudal lung lobe consolidation.