Radiographic, computed tomographic, and ultrasonographic findings with migrating intrathoracic grass awns in dogs and cats

Ryan M. Schultz, Allison Zwingenberger

Research output: Contribution to journalArticlepeer-review

88 Scopus citations

Abstract

The purpose of this study was to describe the clinical, radiographic, and computed tomographic findings in dogs and cats with migrating intrathoracic grass awns. Thirty-five dogs and five cats with visual confirmation of a grass awn following surgery, endoscopy or necropsy, and histology were assessed. The medical records and all diagnostic imaging studies were reviewed retrospectively. Labrador Retrievers or English Pointers <5 years of age, with a history of coughing and hyperthermia, were the most common presentations. Seventeen animals had an inflammatory leukogram of which 14 had a left shift or toxic neutrophils. Radiographs were performed in 38 animals and computed tomography (CT) in 14. Thoracic radiographs were characterized by focal pulmonary interstitial to alveolar opacities (n=26) that occurred most commonly in the caudal (n=19) or accessory lobes (n=8). Additional findings included pneumothorax (n=9), pleural effusion (n=8), and pleural thickening (n=7). Pulmonary opacities identified on radiographs correlated to areas of pneumonia and foreign body location. CT findings included focal interstitial to alveolar pulmonary opacities (n=12) most commonly in the right caudal lung lobe (n=9), pleural thickening (n=11), mildly enlarged intrathoracic lymph nodes (n=10), soft tissue tracking (n=7) with enhancing margins (n=4), pneumothorax (n=6), pleural effusion (n=4), and foreign body visualization (n=4). Histologic diagnoses included pulmonary and mediastinal granulomas or abscesses, bronchopneumonia, and pleuritis. Migrating intrathoracic grass awns should be considered as a differential diagnosis in coughing, febrile animals with focal interstitial to alveolar pulmonary opacities, pleural effusion, pleural thickening, and/or pneumothorax on radiographs or CT.

Original languageEnglish (US)
Pages (from-to)249-255
Number of pages7
JournalVeterinary Radiology and Ultrasound
Volume49
Issue number3
DOIs
StatePublished - May 2008

Keywords

  • Computed tomography
  • Foxtail
  • Grass awn
  • Pleural effusion
  • Pneumonia
  • Pneumothorax
  • Radiography

ASJC Scopus subject areas

  • veterinary(all)

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