Today’s case is a 6-year-old Labrador Retriever presented for a two-day history of lethargy and anorexia and respiratory distress. What are your differential diagnoses?
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 6-year-old Labrador Retriever presented for a two-day history of lethargy and anorexia and respiratory distress. What are your differential diagnoses?
There is a severe retraction of the right lung lobes from the thoracic wall. Pleural fissure lines are visible in the right and left side of the thorax. There is an increased soft tissue opacity in the right caudal lung lobe. There is irregular mineral opacity associated with the right middle lung lobe visible on the DV projection and the right lateral projection. On the left side the lung lobe margins are mildly rounded. The cardiac silhouette is difficult to identify. Within the viewable abdomen there is decreased serosal detail.
The patient was euthanized without necropsy.
On both lateral projections there appears to be a triangle shaped soft tissue opacity in the ventral thorax that resembles the shape of the spleen. Is it possible this could be a diaphragmatic hernia and possibly the dog suffered some kind of trauma (HBC?) without the owner being aware?
in Right lateral view I can not see the hepatic silhouette within adbominal cavity and cranial to stomach. It is more suspected to right hepatic diaphragmatic herniation and consequence torsion.