SAEVA Congress 2018 Proceedings | 12-15 February 2018 | ATKV Goudini Spa
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Interpreting the Thoracic Sonogram
Virginia B Reef, DVM, DACVIM (LAIM)
Mark Whittier and Lila Griswold Allam Professor of Medicine
Chief Section of Imaging
New Bolton Center, University of Pennsylvania,
382 West Street Rd., Kennett Square, PA 19348
610-925-6403, Fax: 610-925-6831, Email:[email protected]
Introduction
Thoracic ultrasonography yields information about the lung and pleural cavity
heretofore unavailable to the veterinarian.
Consolidation, pleuropneumonia,
abscesses, granulomas, tumors, penetrating thoracic wounds, and diaphragmatic
hernias have been detected ultrasonographically. Thoracic radiography has several
disadvantages, including only a single view (lateral) can be obtained in adult horses
and the typical portable x-ray machine cannot be used to obtain good quality lateral
thoracic radiographs in the adult horse. The mediastinum, right apical lung lobe, and
lung overlying the cardiac silhouette cannot be critically evaluated due to the difficulty
penetrating the cranial ventral portion of the thorax radiographically, and the
superimposition of the heart and lung. Almost the entire thorax can be evaluated
ultrasonographically, including the cranial mediastinal region. The side or s