Today’s case is a 5-year-old male neutered German Shepherd with difficulty breathing. What are your findings?
Teaching and learning about veterinary diagnostic imaging.
Today’s case is a 5-year-old male neutered German Shepherd with difficulty breathing. What are your findings?
There is retraction of the lung from the thoracic wall with apparent elevation of the cardiac silhouette from the sternum. The pneumothorax is visible in the left hemithorax on the dorsoventral projection. A chest tube is visible in the right pleural space. There is increased opacity of the left caudal lung lobe with air bronchograms, resulting in an alveolar pattern. There are multiple thin curved soft tissue opacity lines ventral to the cardiac silhouette representing mediastinal and pleural tissues. There is a broad based soft tissue opacity dorsal to the second sternebra consistent with an enlarged sternal lymph node.
Pneumonia with secondary pneumothorax, likely due to migrating foreign body (grass awn / foxtail).
Severe pleuropneumonia.
A CT examination was performed and the disease was localized to the left caudal lung lobe. A left caudal lung lobectomy was performed. Although no plant material was found on histopathology, this is a likely cause of the pleuropneumonia and pneumothorax.
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