Unknown Case Department of Veterinary Medical Imaging Veterinary Medical Teaching Hospital Kyungpook National University
Signalment Feline Ragdoll Spayed Female 2y 10m 2.9 kg
History 열흘 전 식욕 및 활력 감소 ↓ Local A/H 3 일간 입원 처치 후, 증상 호전되어 퇴원 ↓ 일주일 후 R/C 에서 흉수 (hemothorax) 확인 ↓ 정밀 검사 의뢰
Physical Examination T: 38.2 ℃, P: 210 bpm, R: panting BCS: 4/9 Dyspnea ( 빈호흡 및 노력성 복식호흡 ) Depression
Blood Test
Radiography
Ultrasound * Left thoracic wall Marker; cranial
Ultrasound * Left thoracic wall Marker; cranial, H; heart
Ultrasound * Left thoracic wall Marker; cranial, H; heart
Thoracocentesis CBC analysis –RBC 1.02 M/ul –WBC 6.05 K/ul Urostick analysis
Computed Tomography 16-MDCT Non-anesthesia Sternal recumbency Contrast study –Contrast media: Iohexol 6 ml –Total injection time: 20 sec (0.3 ml/sec) –2-phase: early (20 sec) & delay (90 sec)
Computed Tomography Transverse pre CE Transverse post CE
Computed Tomography Sagittal post-CE
Computed Tomography Dorsal plane post-CE
What is your diagnosis ?