Today’s case is a 4 year old male neutered Poodle mix who was attacked by another dog. What are your findings?
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 4 year old male neutered Poodle mix who was attacked by another dog. What are your findings?
There is marked subcutaneous swelling and emphysema in the region of the larynx. The subcutaneous emphysema extends down the neck and into the cranial mediastinum. The thyroid cartilage appears caudally displaced relative to the more cranial portions of the hyoid apparatus and larynx. Within the thorax, there is alveolar pattern in the ventral aspect of the right cranial, right middle, and left cranial lung lobes. No pneumothorax is noted. The cardiovascular structures appear normal.
Cervical soft-tissue trauma with subcutaneous emphysema and pneumomediastinum. Suspected tear or avulsion of the larynx.
At surgical exploration, the thyroid cartilage was avulsed 270 degrees from the arytenoid cartilage. The jugular vein was denuded of all tissue but was intact. The cartilage was reattached, and the wound debrided.
Charlierak says
The gas opacities are visible in the subcutaneous tissue over the dorsal and ventral neck. The larynx has irregular soft tissue opacity with the fractured or displaced hyoid apparatus.
On rl view, the cranial vena cava is visible consistent to the pneumomedistinum and ,also, multiple gas bubbles and the ventral margin of the trachea are visible along the cervical and thoracic trachea. The tracheal strip sign is visible due to small amount of gas in the esophagus. The included stomach is dilated with the gas. There is an alveolar pattern over the ventral cardiac silhouette on both lateral views. The CVS and pleural space looks normal.
On DV view, opacity of the cranial mediastinum is lucent. Focal alveolar pattern exsists on the right middle lung lobe with visible thin pleural fissure line on the left between the cranial and caudal segements of left cranial lung lobe. The rest of lung parenchyma, pleural space and CVS are normal.
Subcutaneous Emphysema and pneumomediastinum secondary to the larynx rupture by the bite.
Focal alveolar pattern – aspiration or bacterial pneumonia or hemorrhage?
Charlierak says
Frankly to say, I failed to recognize alveolar patterns on the cranial lobes, on lateral view, the mottled appearance resulted from the pneumomediastinum…