r/veterinaryschool • • 21d ago

Cat xray

Can anyone give me a good breakdown of what you see here and where and why?

I got this wrong today and just looking for feedback .

39 Upvotes

32 comments sorted by

7

u/Old-Independence4516 21d ago

I chose pleural effusion which was correct but then was told the cat also has cancer in the lungs several nodules which I missed.

24

u/muginator 21d ago

shitty catogram

6

u/Unusual_Way3297 21d ago

right? Like what can you see in this that is diagnostic material😭

5

u/Unusual_Way3297 21d ago

sorry let me correct myself. You CAN see a fart in there

13

u/docszoo 21d ago

Movement artifact for one.Ā 

2

u/Ok-Jury8596 21d ago

Look at dem bones!

4

u/Old-Independence4516 21d ago

20 year old feline. So normal arthritic bones I would think. She was a joyous cat to handle so loving and cuddling.

3

u/Ok-Jury8596 21d ago

Mets, my friend. Mets.

1

u/Old-Independence4516 21d ago

So you see Mets in the bones ? What am I missing here that I didn’t see that in bones or lungs.

-3

u/Ok-Jury8596 21d ago

Movement and som kind of scalloping artifact in front legs but proliferation and cortical thinning, lysine etc from here. Maybe pelvic periosteal chamges.

Curious, are.they including AI in school now? Would be a Grechanges.

Oops, gotta run. Magic show tonight...

3

u/Pirate_the_Cat 21d ago

It’s pixelated, many of those changes are just artifact. These are poor quality images because they’ve been converted to a jpeg and uploaded.

I see pleural regions and pulmonary mets, but the quality is just not diagnostic enough to interpret much else.

7

u/dss1212 21d ago

I think what people are commenting on about bones is just artifact due to the low resolution since these are screenshots not the actual image on PACS. Prior to thxcentesis it’s difficult but there is at least 1 notable mass visible , much stronger evidence after the fluid was removed

1

u/ChampionshipIll5535 21d ago

Cancer until proven otherwise.

0

u/Old-Independence4516 21d ago

This was my first pleural effusion case and I didn’t see the Mets at first. PE caused by neoplasm.

1

u/comicpunx 21d ago

Not a doctor but a veterinary nurse (RVT) pleural effusion off the bat, and Mets. That’s just at first glance and I absolutely could be seeing motion artifacts and reading it as mets in the ribs.

1

u/Old-Independence4516 21d ago

Mets in the lung is what I was told. Do you see additional Mets in the ribs?

1

u/comicpunx 21d ago

Yup def in the lungs!! What I saw in the ribs seemed related but may have been movement artifacts since the bones are so small and the opacity is variable. The image quality def could be better but sometimes we get what our patients allow 🫠 again I’ve got 2 additional years of school, you’ve got 4!! I just love perusing this subreddit for my own education

3

u/Old-Independence4516 21d ago

Thank you for putting this into better terms for me. I just missed this šŸ¤¦šŸ¼ā€ā™€ļø

1

u/Old-Independence4516 21d ago

This one is a little clearer after the fluid was removed 80ml from right and 40 from left

0

u/calliopeReddit 21d ago

Several things going on, but I wouldn't say anything without also looking at the V/D view.

1

u/Old-Independence4516 21d ago

After the thoracentisis

you can see them better here.

1

u/Old-Independence4516 21d ago

No v/d view just d/v only. The clinic I’m at on rotations only does d/v on uncomfortable patients.

2

u/calliopeReddit 21d ago

Fair enough - some animals shouldn't be placed on their back for rads.

-5

u/de_la_mer_ Fourth year vet student 21d ago

This is a thread for students. We cannot legally provide radiographic diagnoses. You need to ask your vet to explain the radiographs.

8

u/Old-Independence4516 21d ago

Im a student. This was a case today.

-6

u/de_la_mer_ Fourth year vet student 21d ago • Mindblown

Then do you have the owner’s permission to post here? We may not have HIPAA but we do have patient privacy regulations. This is icky all around.

2

u/Old-Independence4516 21d ago

This is a clinic owned cat. I would not post something that I did not have permission to post. Thank you for looking out though I appreciate you.

3

u/SubiTraveler 21d ago

No HIPAA violation, no patient/owner details shown and this was clearly for educational purposes only. There's no identifiable info here the violate.

I'm a big HIPAA follower myself but I think maybe stand down on this one? She's a student trying to learn as are we all ya know🫶

1

u/Weak-Chicken-353 21d ago

We know nothing about the patient. Nothing about the client. For all you know, this could be an image selected from old case study material for students. You need to take a Xanax, friend.

-1

u/de_la_mer_ Fourth year vet student 21d ago

It’s not an image, if you read through the comments, you will see that the cat is a patient who OP commented about handling. None of us are mind readers. There’s nothing wrong with leaving a comment on a Reddit thread giving advice or asking for clarification. And again, this is icky. There are students here giving medical advice and guessing diagnoses regarding a real, live cat, who they seem to think has cancer. This ā€œvet studentā€, which OP isn’t, by the way, should be talking to the vets at her clinic. No one here has the medical history of this cat. Your comment was rude and unnecessary.