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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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7 year old Boxer

February 4, 2016 By Allison Zwingenberger

Today’s case is a 7-year-old female neutered Boxer that coughed up blood three weeks previously and today is lethargic and panting. What are your differential diagnoses?

R LAT Thorax
L LAT Thorax
DV Thorax

Show findings...

Findings

The cardiovascular structures are normal in size and shape. There is a moderate amount of air in the pleural space with apparent elevation of the heart from the sternum. There is a round soft tissue opacity nodule in the right middle lung lobe. There is air and fluid in the esophagus. The stomach contains a linear metallic wire and linear soft tissue opacities.

Show differential diagnosis…

Differential Diagnosis

  • Pneumothorax – migrating foreign body, bulla, trauma
  • Pulmonary nodule – hematocele, abscess, neoplasia
  • Incidental gastric foreign material
  • Esophageal aerophagia or dysmotility

Show diagnosis…

Diagnosis

The pulmonary nodule was confirmed on thoracic ultrasound and fine needle aspirates were non-diagnostic. On recheck radiographs two weeks later, the pneumothorax and the pulmonary nodule had resolved.

Thoracic ultrasound
Followup radiograph-2 wks

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

Comments

  1. saeed ahrari says

    February 16, 2016 at 11:58 pm

    Is the liver small?
    In recheck radiograph metallic foreign body is still seen. Is not More evaluation necessary?

    • TC-L says

      February 24, 2016 at 11:10 am

      I think the liver is probably normal size.
      The small liver you saw visually may be just caused by the broad deep chest of the dog.

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