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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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12 year old DSH

July 14, 2016 By Allison Zwingenberger

Today’s case is a 12-year-old female neutered domestic shorthaired cat who was attacked by a dog two days previously. What are those things??

Show findings...

Findings

There is extensive subcutaneous gas and soft tissue opacity on the left body wall, left thoracic limb, and sternum. These regions appear to be superimposed on the cranial mediastinum on the lateral projection. A small osseous body is present cranial and lateral to the left elbow.

In the thorax, there are two mineral opacities present, one in each principal bronchus to the left and right caudal lung lobes. These mineral opacities have the appearance of dental structures/teeth. Ill-defined interstitial to alveolar patterns surround these foreign bodies. The cardiovascular structures appear normal.

Show differential diagnosis…

Differential Diagnosis

  • Body wall trauma
  • Inhaled foreign bodies (teeth) with secondary pneumonia
  • Elbow osteoarthritis

Show diagnosis…

Diagnosis

Inhaled foreign bodies—teeth
The left mandibular canine and molar were absent on oral examination. They were retrieved via endoscopy. The pneumonia worsened in the interval (1 day) between diagnosis and foreign body retrieval, but it resolved with antibiotic therapy.

Endoscopy extractions

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

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