SAEVA Congress 2018 Proceedings | 12-15 February 2018 | ATKV Goudini Spa
Lung abscess in foal with R equi
Hyperechoic free gas echoes may be imaged mixed in with the exudate , again suggesting the presence of anaerobic organisms . The material within the abscess tends to be layered with the heaviest , most echogenic debris in the most ventral portion of the abscess , followed by more sonolucent fluid in the center , with the hyperechoic gas echoes in the most dorsal portion of the abscess . The detection of a dorsal gas cap within the abscess is indicative of a bronchial communication and probable anaerobic . In foals with multiple Rhodococcus equi abscesses , many do involve the pulmonary periphery and therefore are detectable ultrasonographically .
Rib fractures and pulmonary contusions
Thoracic trauma should be considered in neonatal foals with hemothorax and the ribs carefully evaluated for fractures . An ultrasonographic evaluation of the thorax is indicated in all neonatal foals with known or suspected thoracic trauma to look for pericardial , cardiac , pulmonary or diaphragmatic injury and hemothorax or pneumothorax , as any of the preceding conditions can be life threatening . Pulmonary contusion was the single most frequent complication in foals presenting with rib fractures in one neonatal intensive care unit . Multiple rib fractures are common in neonatal foals and thus a complete sonographic evaluation of the ribcage is indicated .
124