Today’s case is a 10-year-old female neutered French Bulldog with acute onset of respiratory distress after a long walk. What are your differential diagnoses?
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 10-year-old female neutered French Bulldog with acute onset of respiratory distress after a long walk. What are your differential diagnoses?
The cardiac silhouette is moderately enlarged, and the thorax is hypoinflated. There is a diffuse bronchointerstitial pattern with patchy alveolar componenets throughout the lungs. The pleural space and mediastinum are normal. Catheters are present in the cranial vena cava and esophagus.
Differential diagnoses for the pulmonary disease include infectious and noninfectious inflammatory disease, fibrosis, and neoplasia. Cardiomegaly may be secondary to pulmonary hypertension or other cardiac disease.
Echocardiography revealed right ventricular hypertrophy and moderate pulmonary hypertension. The dog remained on the ventilator for one week with an endotracheal tube placed. Treatments included antibiotics and steroids for the presumed component of inflammatory disease. At recheck examination one month later, the dog was doing well at home; however, the pulmonary pattern was static.
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