Pleural effusion Xray

RE: Pleural effusion Xray

Claire Godfrey — Mon, 10 Jun 2019 15:29:05 GMT

Thanks everyone, will try ultrasound!

RE: Pleural effusion Xray

Julie Innes — Mon, 10 Jun 2019 14:39:21 GMT

I'm another one who was going to suggest ultrasound! I'm not a great ultrasonographer, but I've been surprised at how easy it is to get something from a basic scan of the heart- just the other week I diagnosed an unexpected pericardial effusion, which I managed to drain! Cats can have HCM without a murmur, I believe. I would be looking at Left atrial size, and I have managed to see thrombi and "swirling" on basic ultrasound before. Apparently troponin 1 is quite a useful marker in cats as well.

RE: Pleural effusion Xray

Thomas Johnson — Mon, 10 Jun 2019 09:02:52 GMT

[quote user="Glen McIntosh"]

[quote user="robloxley"]

Have you put the ultrasound scanner on the heart?

[/quote]

Agree.

Trachea looks a bit elevated and pulmonary vessels look enlarged. Worth popping the u/s on the heart before doing CT scan IMO. That could give you the answer.

[/quote]

If you're not confident with ultrasound running proBNP might be helpful to determine if it is cardiac or not, and you can ask the lab to run it on the pleural effusion.

RE: Pleural effusion Xray

Glen McIntosh — Thu, 06 Jun 2019 21:25:17 GMT

[quote user="robloxley"]

Have you put the ultrasound scanner on the heart?

[/quote]

Agree.

Trachea looks a bit elevated and pulmonary vessels look enlarged. Worth popping the u/s on the heart before doing CT scan IMO. That could give you the answer.

RE: Pleural effusion Xray

Rob Loxley — Thu, 06 Jun 2019 19:22:48 GMT

Have you put the ultrasound scanner on the heart?