X-rays , pleural effusion , tumor ?

RE: X-rays , pleural effusion , tumor ?

Barbara Willis-Clark — Mon, 03 Mar 2025 16:10:16 GMT

I agree with the weight loss and the severity of the presentation in a younger animal.

RE: X-rays , pleural effusion , tumor ?

Mark Patteson — Mon, 03 Mar 2025 12:39:41 GMT

I fear an echo isn't the answer to this one
This breed have bigger hearts cf others and the lack of a murmur and a normal heart rate given the severity of the pulmonary changes suggest any cardiac changes could be secondary - so yes an echo might confirm pulmonary hypertension but the primary issue is the consolidated/infiltrated right lung
Sadly the infiltrate is too uniform to be typical of Angiostrongylus although it doesn't rule it out - do a snap test but actually most of these have some blood work changes This is too unilateral to be typical of cardiogenic oedema
sadly this shouts neoplasia and CT is probably the best bet if you need to reach a diagnosis. Lung aspirates could help - they aren't without risk but you are between a rock and a hard place Trans trach wash also possible but often the cells are parenchymal not in the airways
profound weight loss with normal bloods is often a sinister combination

RE: X-rays , pleural effusion , tumor ?

Sarah Keir — Mon, 24 Feb 2025 16:28:08 GMT

MY thoughts

- lovely air bronchogram with complete effacing of pulmonary vasculature on right hemithorax - alveolar pattern , differentials - cardiogenic oedema, non-cardiogenic oedema, aveolar infiltration with cells or exudate e.g. pneumonia or lungworm, or with blood

- no radiographic signs compatible with pleural effusion

- mediastinum appears symmetrical in the middle

- heart is enlarged but due to right heart enlargement with much increased sternal contact - I would be concerned for pulmonary hypertension, potentially as secondary to diffuse aveolar pattern e.g. heart worm, lungworm, pulmonary thromboemobolism