Radiology Packet 9

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Radiology Packet 9

• Alveolar Pulmonary Pattern

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6-week old mixed breed puppyRascal

• Hx Presented with severe respiratory distress.
  He chewed through an electrical cord and has
  burns on his tongue and lips.

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6-week old mixed breed puppyRascal

• RF
• Severe, generalized opacification of all the
  lungs is identified.
• There are areas of alveolar infiltrates, with the
  presence of air bronchograms. Best seen caudally.
• Other areas have heavy to mild interstitial
  infiltrates.
• RD
• Noncardiogenic pulmonary edema
• Next
• Diuretic therapy to reduce the pulmonary edema
  and take follow-up radiographs.

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6-week old mixed breed puppyRascal

• Follow-up films

The lungs, while not normal, show tremendous
improvement over the last 24hrs
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6-year old MN Siamese catSammy

• Hx Presented for thoracic radiographs prior to
  anesthesia for a radiographic series of the skull.

L
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R
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6-year old MN Siamese catSammy

• RF
• The triangular area of soft tissue opacity that
  silhouettes with the right cardiac margin is a
  consolidated right middle lung lobe.
• In the left lateral radiographic projection there
  is a sharp demarcation between the consolidated
  right middle lobe and the normal air-filled
  accessory lobe seen over the heart.
• Hyper-expansion of the thorax.
• RD
• Mild diffuse interstitial lung pattern with areas
  of peribronchial infiltrate
• Consolidated right middle lung lobe
• R/O
• Feline asthma
• Secondary pneumonia and/or atelectasis

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12-year old SchipperkeRobbie

• Hx Presented with a systolic heart murmur. On PE
  crackles are heard over all of the lung fields.

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12-year old SchipperkeRobbie

• RF
• In the lateral view the caudal border of the
  heart is elongated, there is loss of the caudal
  cardiac waist and elevation of the mainstem
  bronchi.
• The heart appears widened and there is increased
  sternal contact.
• In the DV view the cardiac silhouette occupies
  more than 65 the thoracic width.
• There is rounding of the left heart border, a
  small bulge in the left auricle area and
  spreading of the caudal mainstem bronchi
  (bowlegged cowboy)
• The cranial and caudal pulmonary vessels are
  visible and the vein is larger than the artery.
• In the lateral view there is increased opacity in
  the hilar region and air bronchograms are seen in
  the region of the accessory lung lobe.
• In the DV view air bronchograms are seen in the
  hilar region and extending into the caudal lung
  lobes.
• RD
• Moderate to sever generalized cardiomegaly
• Pulmonary venous congestion
• Pulmonary edema
• R/O
• Left-sided congestive heart failure
• Mitral valve insufficiency secondary to valvular
  endocardiosis
• Tricuspid insufficiency secondary to valvular
  endocardiosis

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11-year old MN CollieKerry

• Hx Had surgery for removal of a splenic mass 2
  days ago. He is now febrile and has a productive
  cough.

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11-year old MN CollieKerry

• RF
• There is a mild diffuse broncho-interstitial lung
  pattern present that is consistent with normal
  aging changes.
• Air bronchograms are visible overlying the heart
  in the lateral view and in the VD view the
  triangular area of soft tissue opacity
  silhouetting with the right cardiac margin is
  evidence of alveolar opacification of the right
  middle lung lobe.
• Incidental finding of several sites of
  spondylosis in the thoracic spine.
• In the VD view the diaphragm is visible as a
  thin, linear soft tissue structure. This is due
  to the presence of free abdominal gas between the
  liver and the diaphragm.
• RD
• A ventrally distributed alveolar lung pattern
  consistent with aspiration pneumonia

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8-year old RottweillerHeidi

• Hx Presented for evaluation of a chronic cough.
  Pneumonia is suspected. She is also noted to be
  losing weight.

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8-year old RottweillerHeidi

• RF
• The left cranial lung lobe is consolidated and
  silhouettes with the heart.
• In the R lateral view the sharp margin seen
  overlying the heart is the edge of the
  consolidated lung lobe.
• In the left lateral view there is an area of
  increased opacity with air bronchograms cranial
  to the heart and overlying the heart.
• In the caudal lung fields there are patchy areas
  of heavy interstitial to alveolar pattern.
• In the left lateral view there is a focal area of
  opacity dorsal to the mainstem bronchi that has
  caused depression of the bronchi.
• The trachea is elevated of the trachea over the
  heart base.
• RD
• Diffuse patchy heavy interstitial to alveolar
  lung pattern
• Consolidation of the left cranial lung lobe
• Hilar lymphandenopathy
• R/O
• Eosinophilic granulomatosis
• Fungal lung disease
• Other granulomatous lung disease
• Next