Radiographic aspects of exercise‐induced pulmonary hemorrhage in racing horses

John Pascoe, Timothy R. O'Brien, John D. Wheat, Dennis Meagher

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Abnormal pulmonary radiopacities were identified in 13 racing horses in which a diagnosis of exercise‐induced pulmonary hemorrhage (EIPH) had been confirmed. The lesions were in the caudal lung lobe in all horses; seven were on the right and three on the left, and the laterality for three could not be determined. In ten horses the opacities, which were large and peripherally located, obliterated the thoracophrenic angle. They merged with the silhouette of the diaphragm and had a circular or ovoid surface directed toward the hilum. The intensity of opacification of the consolidated areas varied, and they often were not sharply marginated. Dorsal displacement of the pulmonary arteries was noted in the region of the radiopacity in seven horses. Varying volumes of pleural effusion were observed in nine horses. Serial radiographic examinations were performed in seven horses. The pulmonary radiopacities cleared within ten days in two horses. In the remaining five horses, gradual resolution, characterized by a reduction in lesion size with improved margination, occurred during several months. The central region of the radiopaque lesion commonly had a patchy appearance, suggesting cavitation. Normal pulmonary vascular and interstitial markings were evident following complete resolution of these lesions. The cause of these abnormal pulmonary opacities has not been determined. Pathologic‐radiologic correlations will be required to improve understanding of the pathophysiology of EIPH in the racing horse.

Original languageEnglish (US)
Pages (from-to)85-92
Number of pages8
JournalVeterinary Radiology
Volume24
Issue number2
DOIs
StatePublished - Jan 1 1983

Keywords

  • exercise‐induced pulmonary hemorrhage
  • horses
  • lung disease
  • thoracic radiography

ASJC Scopus subject areas

  • veterinary(all)

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