“Sasha” is a 12 year old F/S DSH who was referred for a 2 week history of inappetance and weight loss.  On physical examination, she was thin with an unkempt coat and a II/VI systolic murmur.  Initial evaluation included CBC, chemistry profile, UA and thoracic radiographs. Thoracic radiographs showed a normal cardiac silhouette and a focal region of patchy infiltrates in the right caudal lung lobe.  A thoracic ultrasound was requested.

Lung rad-focal infiltrate RCLL

RCLL lesion lateral

Thoracic ultrasound with Vet BLUE lung scan revealed a focal shred sign in the right caudal lung lobe consistent with a consolidated/infiltrative lung lobe lesion.  In addition, several small (3-5 mm) nodules were noted in the right cranial lung lobe region. Echocardiogram was normal.

Shred sign right caudal lung lobe region

Fig. 1 Shred sign right caudal lung lobe region

Shred sign right caudal lung lobe region

Fig. 2 Shred sign right caudal lung lobe region

lung nodule (5 mm)

Fig. 3 Lung nodule (5 mm) detected with Vet BLUE

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