Diagnostic imaging in acute interstitial pneumonia in foals: High variability of interpretation of chest radiographs and good conformity between ultrasonographic and post‐mortem findings

2021 ◽  
Author(s):  
Sophia Punsmann ◽  
Maren Hellige ◽  
Judith Hoppe ◽  
Fritjof Freise ◽  
Monica Venner
Keyword(s):  
Diagnostic Imaging ◽  
Interstitial Pneumonia ◽  
High Variability ◽  
Chest Radiographs ◽  
Post Mortem ◽  
Acute Interstitial Pneumonia ◽  
Post Mortem Findings

A Rare Case of Acute Interstitial Pneumonia Diagnosed at Autopsy

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S153-S154
Author(s):  
E Conner ◽  
D Troxclair ◽  
H Khokhar ◽  
W Beversdorf
Keyword(s):  
Respiratory Failure ◽  
Interstitial Pneumonia ◽  
Diffuse Alveolar Damage ◽  
Ventilatory Support ◽  
Respiratory Illness ◽  
High Dose ◽  
Atypical Pneumonia ◽  
Acute Interstitial Pneumonia ◽  
Diagnostic Role ◽  
History Of

Abstract Introduction/Objective Acute interstitial pneumonia (AIP) is a rare disease clinically characterized by rapidly progressing respiratory failure in individuals with no history of respiratory illness or other inciting factors. While most often diagnosed in middle-aged adults, it may present in any age group. Initial presentation is described as influenza- like, and respiratory failure requiring ventilatory support often progresses within weeks to months. Prognosis is poor, with an estimated mortality rate approaching 80% without treatment. Methods We present the case of a 44-year-old male nonsmoker with no significant medical history, who presented in 2018 with 1.5 months of dyspnea and headache initially diagnosed as atypical pneumonia. Chest imaging revealed bilateral opacities; however, microbial workup revealed no evidence of infectious etiology. Autoimmune serology studies were likewise unrevealing. Despite aggressive supportive and medical management, he deteriorated to respiratory failure and succumbed. Results At autopsy, the lungs were symmetrically congested and edematous (combined weight 2,340 g) but free of evident consolidation or discrete lesions. Microscopic examination revealed diffuse alveolar damage with extensive hyaline membrane formation, interstitial edema, and fibroblastic proliferation. The vasculature was severely congested, and the alveoli contained hemorrhage and scattered macrophages. No fungal or mycobacterial elements were identified by staining. Based on the histologic features and clinical context, the diagnosis of AIP was made. Conclusion AIP is a rare, aggressive, and diagnostically challenging disease that includes a broad range of both clinical and histologic differentials. Timely recognition and intervention with aggressive respiratory support and high- dose glucocorticoids are the mainstays of clinical management. The diagnostic role of histology is significant, but hinges on early clinical consideration of AIP as disease progression may later preclude the biopsy procedure. We share this case to raise awareness of this rapidly progressive and diagnostically troubling interstitial lung disease while emphasizing the importance of clinicopathologic correlation.

scholarly journals Sirenomelia: The role of post - Mortem diagnostic imaging

2021 ◽  
pp. 101921
Author(s):  
A. Russo ◽  
A. Reginelli ◽  
M. Pignatiello ◽  
M. Montella ◽  
G. Toni ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Post Mortem

Post-mortem Findings in a Shetland Sheepdog with Dermatomyositis

1986 ◽  
Vol 23 (4) ◽  
pp. 509-511 ◽  
Author(s):  
A. M. Hargis ◽  
D. J. Prieur ◽  
K. H. Haupt ◽  
L. L. Collier
Keyword(s):  
Post Mortem ◽  
Post Mortem Findings

Acute Interstitial Pneumonia

1986 ◽  
Vol 10 (4) ◽  
pp. 256-267 ◽  
Author(s):  
Anna-Luise A. Katzenstein ◽  
Jeffrey L. Myers ◽  
Michael T. Mazur
Keyword(s):  
Interstitial Pneumonia ◽  
Acute Interstitial Pneumonia

Diagnostic Imaging Techniques

2017 ◽  
Author(s):  
Gerald W. Staton Jr ◽  
Phuong-Anh T. Duong
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Diagnostic Imaging ◽  
Imaging Techniques ◽  
Photon Emission ◽  
Chest Radiographs ◽  
Medical Community ◽  
Multidetector Row Computed Tomography ◽  
Resonance Imaging

Chest imaging techniques are evolving with recent advances in computed tomography, magnetic resonance imaging, and ultrasonography. While conventional radiography remains an important screening tool because of its low relative cost, ease of acquisition, general availability, and familiarity, physicians must understand all techniques so as to provide patients with the most appropriate diagnostic imaging. Consultation with radiologists, use of online clinical decision support, and adherence to national guidelines such as the American College of Radiology Appropriateness Criteria®, can help clinicians make imaging decisions, especially in light of medical imaging risks that are of concern in the medical community and the general population. Choosing appropriate imaging, including whether or not to image, requires careful consideration. This review contains 6 figures, 3 tables, and 6 references. Key Words: Chest Radiographs, Dual-Energy Chest Radiographs, Computed Tomography, High-Resolution Chest Computed Tomography, Multidetector Row Computed Tomography, Computed Tomographic Angiography for Pulmonary Embolism, Magnetic Resonance Imaging, Single-Photon Emission Tomography (SPECT), Ultrasonography 

scholarly journals Intersexuality in a crab-eating fox (Cerdocyon thous)

2010 ◽  
Vol 30 (6) ◽  
pp. 510-514 ◽  
Author(s):  
Marcos R.F. Mattos ◽  
Lucilene Simões-Mattos ◽  
Célso Pilati ◽  
Lúcia D.M. Silva ◽  
Sheyla F.S. Domingues
Keyword(s):  
External Genitalia ◽  
Post Mortem ◽  
Gonadal Tissue ◽  
Bilateral Cryptorchidism ◽  
Reproductive Disorder ◽  
Post Mortem Findings ◽  
Cerdocyon Thous ◽  
Male External Genitalia ◽  
The Right ◽  
Reproductive Pathology

Intersexuality is a reproductive pathology that has been described in wild animals in recent years. However, its occurrence and consequences remain obscure and therefore all aspects of this reproductive disorder deserve attention. The aim of this study is to report a case of intersexuality with probable absence of gonadal tissue in the crab-eating fox (Cerdocyon thous) native to Brazil. The animal has male external genitalia, but its prepuce and penis were both hypoplastic. Because of a clinical suspicion of bilateral cryptorchidism, a laparotomy was performed and the absence of prostate and gonads were revealed. The procedure also revealed vas deferentia, extending laterally from the each side of the bladder basis to the right and left abdominal wall muscles. The animal died one month later, and post mortem examination confirmed the absence of prostatic and gonadal tissues. Muscular structures similar to uterine horns and cervix were founded macroscopically and confirmed by optic microscopy. In addition, post mortem findings corroborate with penis hypoplasia, since penile bone presence was observed. The vasa deferentia had a normal tissue structure, although hypoplastic. In conclusion, the case of a crab-eating fox (Cerdocyon thous) reported here represents a proved intersexual animal with probable absence of gonadal tissue.

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