Veterinary Imaging Consultations, Inc.​​

Final Report for Exam: 2028271

Patient ID:  0000000

Patient Name:  Fido X

Sex:  F ALTERED

Birthdate:  20150307

Wt:  43.2lbs

 
Hospital Name:  Veterinary Hospital 

Doctor Name:  Jane Smith, DVM

Date of Exam:  20170305

Reader:  Stephanie Essman, DVM, MS, DACVR

Confirmation Date:  3/6/2017 4:04:56 AM UTC

HISTORY

Consult Type: FILMINTERP, SIG: DOB: 20150307, Age: 2 Y, Sex: F ALTERED, Wt: 43.2lbs, Breed: Lab, Species: CANINE, Images: 3, Case Details: Pt was HBC this evening. Extensive degloving injury to the right front leg with open elbow luxation. Road rash on the left lateral dorsal thorax. Pt is tachypneic and shocky on presentation. Rads- no rib fx seen. No intrathoracic hemorrhage noted.
Will monitor Pt for difficulty breathing overnight and repeat rads if concerned for pulmonary contusions.

FINDINGS

Thorax: A three-view thoracic study is available for interpretation. There is a focal unstructured interstitial pattern present within the peripheral aspect of the left caudal lung lobe. This has a ventral distribution on the right lateral image indicated by slight increased opacity superimposed over the apex of the heart. The rest of the lungs are unremarkable without evidence of pulmonary trauma. The heart is normal in size and shape, but the pulmonary vessels are decreased in size and thready in appearance. On the right lateral image there is a scant amount of air present in the pleural space noted just adjacent to the apex of the heart and diaphragm. Overt evidence of pleural effusion is not detected. The mediastinum and trachea are normal. The diaphragm is intact. In the visible abdomen good serosal detail is present. The stomach is filled with ingesta with particulate mineral material. There is no radiographic evidence of osseous trauma. No additional abnormalities are noted.

CONCLUSION

1. Focal pulmonary contusion of the left caudal lung lobe.

2. Scant pneumothorax.

3. Hypovolemia/shock resulting in decreased pulmonary vascular size.

4. Dietary indiscretion.

RECOMMENDATIONS

A thoracocentesis may not be warranted in this patient based on the subtle degree of air present in the pleural space but this should be clinically correlated. It is also important to remember the pulmonary contusions can worsen over 24–48 hours; therefore, radiographs may need to be repeated to further monitor pulmonary changes. Otherwise supportive therapy could be implemented as needed.

Read By:
Stephanie Essman, DVM, MS, DACVR

Contact Information:
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Thank you very much for this referral. Please let me know if I can be of further assistance.