Today’s case is a 6 year old Golden Retriever with thrombocytopenia of unknown origin.
Case originally posted on September 20, 2007
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 6 year old Golden Retriever with thrombocytopenia of unknown origin.
There are patchy interstitial to alveolar infiltrates throughout the lung. The heart and vessels appear small. The liver is enlarged with rounded margins and caudal displacement of the gastric axis.
Non-cardiogenic pulmonary edema secondary to vasculitis and anaphylaxis.
The acute reaction to transfusion causes vasculitis with extravasation of fluid into the interstitium of the lung. It can also cause vasodilation, which would explain the small heart and vessels and poor cardiac filling.
jams says
Hi,
I would call this a hazy reticular interstitial pattern. Can you please help me to see the ‘patchy’ alveolar component?
Allison Zwingenberger says
This pattern is interstitial, but there are some more dense areas of soft tissue opacity cranial and caudal to the heart on the laterals, and in the caudal lung lobes on the d/v projection. There is a lobar sign on the lateral overlying the cardiac silhouette, which I usually call alveolar pattern. There are a few airways seen in these areas as well, another sign of alveolar disease. Remember that there is often a continuum of interstitial to alveolar disease. Fluid collects in the alveolar walls, creating interstitial pattern, and can eventually spill into the alveoli. We catch a moment in time on the radiograph so often see a mixed pattern in these types of cases.
Vidalini says
Isn’t there sternal linfadenopathy?