Documenti di Didattica
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RD
The predominant lung pattern is reticulonodular interstitial Changes are in the interstitium and are both reticular and nodular Mixed bronchial pattern is also present
R/O
Metastatic neoplasia
Prostatic adenocarcinoma Mammary adenocarcinoma Hemangiosarcoma
Next
Abdominal ultrasound with special emphasis on the urinary bladder and prostate.
RD
Multiple interstitial lung nodules
R/O
Metastatic neoplasia Primary pulmonary neoplasia (unlikely) Abscess/granuloma formation
Next
Abdominal radiographs and/or ultrasound
RD
Diffuse nodular interstitial lung pattern with evidence of mineralization of interstitial nodules
R/O
Pneumoconiosis Fungal pneumonia Metastatic neoplasia
Next
Fine needle aspirate of lung tissue
RD
Moderate diffuse broncho-interstitial lung pattern
R/O
Parasitic lung disease Allergic lung disease
Next
Fecal evaluation for lungworm larvae (Baermann)
RD
R/O
Tricuspid valve insufficiency Cor pulmonale Lungworm infestation Interstitial pneumonia Interstitial changes due to prior pulmonary disease that is now inactive
Next
Echocardiography Baermann fecal exam
RD
2 cavitated masses within the pulmonary parenchyma along with a nodular interstitial pattern
R/O
Primary lung tumor with pulmonary metastasis Metastatic neoplasia Pulmonary abscesses or granulomas
Next
Transtracheal aspirate or bronchoalveolar lavage CBC Fine needle aspirate of mass using US guidance
RD
Mild right-sided cardiac enlargement Diffuse heavy interstitial lung pattern Mild bronchiectasis
R/O
Pulmonary fibrosis Cor pulmonale
Next
Follow-up radiographs to monitor progression