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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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6 year old DSH

February 11, 2016 By Allison Zwingenberger

Today’s case is a 6-year-old female neutered domestic shorthair cat with difficulty breathing. What are your findings?

L LAT Thorax
R LAT Thorax
DV Thorax

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Findings

There are chest tubes present bilaterally with a moderate volume of pleural gas and fluid. The lung lobes are not fully expanded after thoracocentesis and have a markedly rounded and thickened pleural surface. The cranial and caudal subsegments of the left cranial lung lobe are of soft tissue opacity with a small volume and rounded shape. The cardiac silhouette is obscured by the remaining pleural fluid. There is poor peritoneal detail in the portion of the abdomen included. An endotracheal tube is present, as well as an overlying catheter in the cervical region. Bandage material surrounds the thorax.

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Differential Diagnosis

Pleural effusion and fibrosis – pyothorax, chylothorax Left cranial lung lobe atelectasis vs. abscessation Possible peritoneal effusion

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Diagnosis

Thoracocentesis revealed pyothorax with mixed bacterial population. The cat was discharged on long term antibiotic therapy after intravenous antibiotic therapy and 5 days of thoracocentesis.

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

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