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Aspiration pneumonia and Lung lobe torsion for comparison.

Video clips provided by Dr. Peter Modler to show the comparison of aspiration pneumonia and lung lobe torsion. “These two clips show an aspiration pneumonia with consolidated lung tissue. Color Doppler shows blood flow through the vessels and an air bubble is seen moving within a fluid filled bronchus on the second video”, Dr. Peter Modler.

Video clips provided by Dr. Peter Modler to show the comparison of aspiration pneumonia and lung lobe torsion. “These two clips show an aspiration pneumonia with consolidated lung tissue. Color Doppler shows blood flow through the vessels and an air bubble is seen moving within a fluid filled bronchus on the second video”, Dr. Peter Modler.

KV CVT SonoPath

8 responses to “Aspiration pneumonia and Lung lobe torsion for comparison.”

  1. Hi KV- I am confused. Are

    Hi KV- I am confused. Are both of these clips the aspiration pneumonia?

    I would assume the blood flow shown on the aspiration pneumonia would not be present if there was a torsion.

    I am also sorry that I cant see the air bubble. Can you point it out to me?

    Thanks

    RH

  2. Hi Randy, I will see if Peter

    Hi Randy, I will see if Peter can better describe what is what. 🙂 -Kelly

  4. Hi Randy, the air bubble is

    Hi Randy, the air bubble is the hyperechoic foci with a trailing reverberation artifact that is moving up and down the fluid-filled bronchus in the second clip.

  6. These are not lung lobe

    These are not lung lobe torsion. Ill put a couple of lung lobe torsion clip next to peter’s to show the difference or see these links form the basic search:

    http://sonopath.com/members/case-studies/cases/lung-lobe-torsion-6-year-old-mn-collie-dog

    http://sonopath.com/members/case-studies/search?page=2&text=lung%20lobe%20torsion&species=All

    Also lung lobe torsions tend to have hemorrhgagic effusion unless th ethoracic duct is involved then it can be chylous. Both the examples im having kelly post next to peter were sudden onset of clinical signs and hemorrhagic effusion. That combination should keep LLT in mind. In the examples I added the cleaner lung consolidation is right middle in a collie the mushier one wiht the rib artifact is left cranial in a pug.

    Here are some notes from ABVP prep on LLT:

    Rotation on the bronchus without rotation of the vascular supply. Acute fulminant respiratory crisis

    Deep chested dogs, pugs, Yorkshire, beagles and poodles

    Right middle long lobe in cats

    Right middle large dogs (long narrow large volume) and left cranial small dogs most often, all lungs possible

    Hemorrhagic pleural effusion or Chyle and Chyle brings bad prognosis

    Predisposition: recent trauma thoracic surgery thoracic disease.

    Clinical signs: acute and chronic coughing bloody cough dyspnea epistaxis anorexia lethargy fever

    Radiographs: pleural effusion consolidation bronchogram’s mediastinal shift pneumothorax pneumomediastinum

    DDX: PTE pulmonary contusion neoplasia pneumonia pulm hemorrhage coagulopathy pyothorax pulmonary abscess diaphragmatic hernia

    Hepatization of lung lobe

    Triple ligate lobar artery followed by the vein, stapling device ligasure, thoracostomy tube for 24 hours until air accumulation stops and fluid is less than 2 mL per kilogram per day

  7. Hi!
    I’m just having troubles

    Hi!

    I’m just having troubles uploading the lung lobe torsion clips. These are aspiration pneumonia with blood flow through the vessels. With torsion there is no blood flow.

    Sorry for confusion

    peter

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