Horse thorax Flashcards
What views are needed for a full radiographic study of the thorax of an adult horse?
Cranioventral
Craniodorsal
Caudoventral
Caudodorsal
Overlapping 14x17 in plate
Which lung/hemithorax is highlight or seen more clearly on an adult horse? radiograph?
The one closest to the plate will be the clearest.
Therefore you may need to shoot from both sides.
The right and left lungs of the horse are divided into what lobes?
Left with a cranial and caudal component
Right with a cranial, caudal and accessory component.
How do the horse lung differ from dogs and cats when it comes to the interlobar fissures?
Horse do not have interlobar fissures
Clinical - horse will not show pleural fissure lines when effusive.
When does radiographic clearance of the lungs of a foal occur after birth?
6 hours
When is the thymus the largest in a foal?
2 months of age and then regresses
What is usually the cause of increased opacity in a recumbent foal?
Atelectasis. Foals become atelectatic very fast.
Is a mild diffuse bronchointerstitial lung pattern normal in an adult horse? What may it be due to?
Yes it has been seen in normal horses.
Like secondary to normal abundant lobulation and connective tissue in the horse OR subclinical peribronchial fibrosis
How to assess the heart of the horse on radiographs?
Same as in dogs and cats
In horses, which age set has bigger hearts when compared to the thorax?
Foals
What should the height of the heart of foals be measured at?
6.6-7.8 x the length of a midthoracic vertebral body
What should the width of a normal foal heart be measured at?
5.6-6.3x the length of a midthoracic vertebral body
What is the modality of choice for pleural disease in a horse?
Ultrasound
CT for foals though this is expensive and too small for adults
Nuclear scintigraphy perfusion and ventilation studies are used for what two diseases?
- Chronic obstructive pulmonary disease
2. Excercise induced pulmonary hemorrhage
Does the type of pulmonary patterns correlate well with histopathologic diagnosis?
No… pathology that is interstitial can be histopathologically alveolar and visa versa.
Abscess formation is noted in what percentage of horses with pneumonia?
10-15%
Does acute or chronic pneumonia have better outcomes in foals?
Chronic.
Multinodular pulmonary fibrosis in horses is associted with what virus?
Equine herpesvirus type 5
Differentials for diffuse nodular pattern in an adult horse?
- Multinodular pulmonary fibrosis
- Eosinophilic pneumonopathy (idiopathic pneumonia vs multisystemic)
- Pulmonary silicosis
Fungal and metastatic diseases are uncommon in horses
When are R. equi radiographic changes most apparent after infection?
3 weeks.
The severity/number of what radiographic changes are negatively associated with prognosis in foals infected with R. equi?
- Severity/extent of alveolar pattern
2. Number of pulmonary/cavitary nodules.