{"current_user":null,"case":{"id":74931,"title":"Eosinophilic bronchopneumopathy","url":"/cases/74931?lang=us","hidden_share_token":null,"image":"https://cdn.vetlucent.com/images/51981422/c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_thumb.jpeg","author":{"name":"Allison L Zwingenberger","profileUrl":"https://vetlucent.com/users/radvet?lang=us"},"presentation":{"text":"Presented with a 10-day history of dry, non-productive cough with exercise and overnight. Moderate lethargy.","age":"6 years","gender":null},"components":[{"case_id":74931,"id":85846,"type":"Study","questions":[],"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"findings":"\u003cp\u003eThere is a large soft tissue opacity \u003ca href=\"#annotation-947\" title=\"mass\" data-annotation-id=\"947\"\u003emass\u003c/a\u003e in the right caudal lung lobe with ill-defined borders and an \u003ca href=\"#annotation-948\" title=\"air bronchogram\" data-annotation-id=\"948\"\u003eair bronchogram\u003c/a\u003e. There is a mild bronchointerstitial pattern in the remainder of the pulmonary parenchyma. There is increased opacity in the \u003ca href=\"#annotation-949\" title=\"perihilar\" data-annotation-id=\"949\"\u003eperihilar\u003c/a\u003e region with widening of the mainstem bronchi. \u003c/p\u003e\u003cp\u003e\n \u003cstrong\u003eImpression:\u003c/strong\u003e\n\u003c/p\u003e\u003cp\u003ePulmonary mass with hilar lymphadenopathy (granuloma, neoplasia, abscess).\u003c/p\u003e","study":{"id":85846,"case_slug":"eosinophilic-bronchopneumopathy-7","case_title":"Eosinophilic bronchopneumopathy","modality":"X-ray","series":[{"stack_root_id":51981422,"series_id":389210,"content_type":"image/jpeg","frames":[{"id":51981422,"current":true,"width":2256,"height":1888}],"annotations":[],"pending_dicom_processing":false,"encodings":{"original_dicom":[{"position":1,"report_url":"https://cdn.vetlucent.com/dicom/reports/74931/1.2.826.0.1.3680043.10.341.512.971897514.1652798274/1.2.826.0.1.3680043.10.341.512.9103981.1725324694/5807/report.html"}],"video":null,"thumbnailed_files":[{"jumbo":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_jumbo.jpeg","big_gallery":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_big_gallery.jpeg","medium":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_medium.jpeg","gallery":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_gallery.jpeg","thumb":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_thumb.jpeg","small":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_small.jpeg","tiny":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46_tiny.jpeg","original":"c0949f8f24c0cc539aec67af1e2149e401ecddd0a8fe7ac420f62002db05ea46.jpeg"}],"available_pipelines":["legacy","dicomrender"]},"perspective":"Lateral projection","specifics":"","pipeline":null,"status":"completed-dicom-processing"},{"stack_root_id":51981423,"series_id":389211,"content_type":"image/jpeg","frames":[{"id":51981423,"current":true,"width":2272,"height":1904}],"annotations":[],"pending_dicom_processing":false,"encodings":{"original_dicom":[{"position":1,"report_url":"https://cdn.vetlucent.com/dicom/reports/74931/1.2.826.0.1.3680043.10.341.512.971897514.1652798274/1.2.826.0.1.3680043.10.341.512.2012672565.1816657751/5808/report.html"}],"video":null,"thumbnailed_files":[{"jumbo":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_jumbo.jpeg","big_gallery":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_big_gallery.jpeg","medium":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_medium.jpeg","gallery":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_gallery.jpeg","thumb":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_thumb.jpeg","small":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_small.jpeg","tiny":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449_tiny.jpeg","original":"8d487fa014573ad312106ecb604000db5dccd91c06809ff31d4c1cb0d4347449.jpeg"}],"available_pipelines":["legacy","dicomrender"]},"perspective":"Left lateral projection","specifics":"","pipeline":null,"status":"completed-dicom-processing"},{"stack_root_id":51981424,"series_id":389212,"content_type":"image/jpeg","frames":[{"id":51981424,"current":true,"width":1920,"height":2256}],"annotations":[{"series_id":389212,"id":947,"key_arrow_idx":0,"label":"mass","label_positions":[{"slice_idx":0,"x":49,"y":1906}],"arrow_positions":[{"slice_idx":0,"rotation":-279,"x":452,"y":1239},{"slice_idx":0,"rotation":-100,"x":871,"y":1219}]},{"series_id":389212,"id":948,"key_arrow_idx":0,"label":"air bronchogram","label_positions":[{"slice_idx":0,"x":650,"y":1847}],"arrow_positions":[{"slice_idx":0,"rotation":-413,"x":757,"y":998}]},{"series_id":389212,"id":949,"key_arrow_idx":0,"label":"perihilar mass","label_positions":[{"slice_idx":0,"x":1376,"y":1475}],"arrow_positions":[{"slice_idx":0,"rotation":0,"x":942,"y":1132},{"slice_idx":0,"rotation":-97,"x":1112,"y":1005},{"slice_idx":0,"rotation":-252,"x":763,"y":1037},{"slice_idx":0,"rotation":-174,"x":952,"y":807}]}],"pending_dicom_processing":false,"encodings":{"original_dicom":[{"position":1,"report_url":"https://cdn.vetlucent.com/dicom/reports/74931/1.2.826.0.1.3680043.10.341.512.971897514.1652798274/1.2.826.0.1.3680043.10.341.512.2112419154.882769273/5809/report.html"}],"video":null,"thumbnailed_files":[{"jumbo":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_jumbo.jpeg","big_gallery":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_big_gallery.jpeg","medium":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_medium.jpeg","gallery":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_gallery.jpeg","thumb":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_thumb.jpeg","small":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_small.jpeg","tiny":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a_tiny.jpeg","original":"96309623dde49ced58fca945225bc42ad33b5dccb9174343eaa06068a9837e7a.jpeg"}],"available_pipelines":["legacy","dicomrender"]},"perspective":"Dorso-ventral projection","specifics":"","pipeline":null,"status":"completed-dicom-processing"}],"caption":"Thorax","findings":"\u003cp\u003eThere is a large soft tissue opacity \u003ca href=\"#annotation-947\" title=\"mass\" data-annotation-id=\"947\" class=\"external\"\u003emass\u003c/a\u003e in the right caudal lung lobe with ill-defined borders and an \u003ca href=\"#annotation-948\" title=\"air bronchogram\" data-annotation-id=\"948\" class=\"external\"\u003eair bronchogram\u003c/a\u003e. There is a mild bronchointerstitial pattern in the remainder of the pulmonary parenchyma. There is increased opacity in the \u003ca href=\"#annotation-949\" title=\"perihilar\" data-annotation-id=\"949\" class=\"external\"\u003eperihilar\u003c/a\u003e region with widening of the mainstem bronchi. \u003c/p\u003e\u003cp\u003e\n \u003cstrong\u003eImpression:\u003c/strong\u003e\n\u003c/p\u003e\u003cp\u003ePulmonary mass with hilar lymphadenopathy (granuloma, neoplasia, abscess).\u003c/p\u003e","contributor_login":"radvet","case_id":74931,"case_key_image_id":51981422,"case_featured_at":null},"component_id":222667,"url":"/cases/74931/studies/85846?lang=us"},{"case_id":74931,"id":85848,"type":"Study","questions":[],"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"findings":"\u003cp\u003eThere is a large, soft tissue attenuating, contrast enhancing \u003ca href=\"#annotation-950\" title=\"mass\" data-annotation-id=\"950\"\u003emass\u003c/a\u003e in the dorsal aspect of the right caudal lung lobe measuring ~7.6 x 6.4 x 6 cm in dimension. Following contrast medium administration there are several, small, tubular, branching structures identified within the mass but minimal contrast enhancement. Surrounding the mass, throughout the remainder of the right caudal lung lobe there is patchy \u003ca href=\"#annotation-951\" title=\"ground glass\" data-annotation-id=\"951\"\u003eground glass\u003c/a\u003e to alveolar patterns. Multiple bronchi, including the right caudal lobar bronchus are \u003ca href=\"#annotation-952\" title=\"displaced\" data-annotation-id=\"952\"\u003edisplaced\u003c/a\u003e laterally and compressed by the mass. Several dorsally located bronchi are enlarged at the periphery of the lung consistent with bronchiectasis. There is moderate to marked \u003ca href=\"#annotation-953\" title=\"thickening\" data-annotation-id=\"953\"\u003ethickening\u003c/a\u003e of the bronchi within all lobes of the right lung. This thickening is most pronounced in the right caudal lobe. There is mild thickening of the bronchi in the left lung lobes. The \u003ca href=\"#annotation-954\" title=\"tracheobronchial lymph nodes\" data-annotation-id=\"954\"\u003etracheobronchial lymph nodes\u003c/a\u003e are markedly enlarged at ~4.2cm diameter. Multiple cranial mediastinal lymph nodes are enlarged up to 2.5cm in thickness. The \u003ca href=\"#annotation-955\" title=\"sternal lymph nodes\" data-annotation-id=\"955\"\u003esternal lymph nodes\u003c/a\u003e are enlarged at 0.8cm. Within the abdomen the hepatic and splenic lymph nodes are mildly to moderately enlarged at 1cm.\u003c/p\u003e\u003cp\u003e\n \u003cstrong\u003eImpression:\u003c/strong\u003e\n\u003c/p\u003e\u003cp\u003eDifferential diagnoses for the pulmonary mass, diffuse bronchial pattern and thoracic lymphadenopathy include eosinophilic bronchopneumopathy or primary lung tumor (carcinoma) with metastatic disease to the lungs and lymph nodes.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","study":{"id":85848,"case_slug":"eosinophilic-bronchopneumopathy-7","case_title":"Eosinophilic bronchopneumopathy","modality":"CT","series":[{"stack_root_id":51981552,"series_id":389214,"content_type":"image/jpeg","frames":[{"id":51981552,"current":true,"width":569,"height":353}],"annotations":[{"series_id":389214,"id":955,"key_arrow_idx":0,"label":"sternal lymph 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is a large, soft tissue attenuating, contrast enhancing \u003ca href=\"#annotation-950\" title=\"mass\" data-annotation-id=\"950\" class=\"external\"\u003emass\u003c/a\u003e in the dorsal aspect of the right caudal lung lobe measuring ~7.6 x 6.4 x 6 cm in dimension. Following contrast medium administration there are several, small, tubular, branching structures identified within the mass but minimal contrast enhancement. Surrounding the mass, throughout the remainder of the right caudal lung lobe there is patchy \u003ca href=\"#annotation-951\" title=\"ground glass\" data-annotation-id=\"951\" class=\"external\"\u003eground glass\u003c/a\u003e to alveolar patterns. Multiple bronchi, including the right caudal lobar bronchus are \u003ca href=\"#annotation-952\" title=\"displaced\" data-annotation-id=\"952\" class=\"external\"\u003edisplaced\u003c/a\u003e laterally and compressed by the mass. Several dorsally located bronchi are enlarged at the periphery of the lung consistent with bronchiectasis. There is moderate to marked \u003ca href=\"#annotation-953\" title=\"thickening\" data-annotation-id=\"953\" class=\"external\"\u003ethickening\u003c/a\u003e of the bronchi within all lobes of the right lung. This thickening is most pronounced in the right caudal lobe. There is mild thickening of the bronchi in the left lung lobes. The \u003ca href=\"#annotation-954\" title=\"tracheobronchial lymph nodes\" data-annotation-id=\"954\" class=\"external\"\u003etracheobronchial lymph nodes\u003c/a\u003e are markedly enlarged at ~4.2cm diameter. Multiple cranial mediastinal lymph nodes are enlarged up to 2.5cm in thickness. The \u003ca href=\"#annotation-955\" title=\"sternal lymph nodes\" data-annotation-id=\"955\" class=\"external\"\u003esternal lymph nodes\u003c/a\u003e are enlarged at 0.8cm. Within the abdomen the hepatic and splenic lymph nodes are mildly to moderately enlarged at 1cm.\u003c/p\u003e\u003cp\u003e\n \u003cstrong\u003eImpression:\u003c/strong\u003e\n\u003c/p\u003e\u003cp\u003eDifferential diagnoses for the pulmonary mass, diffuse bronchial pattern and thoracic lymphadenopathy include eosinophilic bronchopneumopathy or primary lung tumor (carcinoma) with metastatic disease to the lungs and lymph nodes.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","contributor_login":"radvet","case_id":74931,"case_key_image_id":51981422,"case_featured_at":null},"component_id":222669,"url":"/cases/74931/studies/85848?lang=us"},{"case_id":74931,"id":85845,"type":"Study","questions":[],"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"findings":"\u003cp\u003eOn recheck images, the pulmonary mass, hilar lymphadenopathy, and peribronchial thickening have resolved.\u003c/p\u003e","study":{"id":85845,"case_slug":"eosinophilic-bronchopneumopathy-7","case_title":"Eosinophilic 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No organisms were cultured. \u003c/p\u003e\u003cp\u003eThe imaging findings most consistent with eosinophilic bronchopneumopathy are the mass plus alveolar infiltrates, bronchiectasis, and bronchial pattern. The reduced contrast enhancement of the mass is more consistent with a granuloma than a primary lung tumour.\u003c/p\u003e\u003cp\u003eThe dog was treated with prednisolone and the pulmonary mass and hilar lymphadenopathy gradually resolved over 6 months.\u003c/p\u003e","component_id":222666,"id":67968,"url":"/cases/74931/discussion?lang=us"}],"related_articles":[]},"playlist":null,"quiz":{"has_previous":true}}