CT findings, management and short-term outcome of dogs with pyothorax: 101 cases (2010 - 2019)

Abstract

Objectives: To describe diagnosis, CT findings, management and short-term outcome of a large population of canine pyothorax cases.

Methods: Retrospective analysis of 101 canine pyothorax cases at two UK referral centres. Medical records and CT images were reviewed. Dogs were included if pre- and post-contrast CT was performed within 48 hours of presentation.

Results: CT abnormalities included pleural thickening (84.1%), pannus (67.3%), pneumothorax (61.4%), mediastinal effusion (28.7%), pulmonary (13.8%) and mediastinal (7.9%) abscessation, foreign body presence (7.9%), foreign body tracts (6.9%) and pneumonia (6.9%). Seventy-one percent of dogs were managed surgically, of which 90.2% survived, and 29% were managed medically, of which 72.4% survived. Overall mortality was 14.8% and 86.6% of these dogs died within 48 hours of admission. All dogs with evidence of a foreign body on CT underwent surgery.

Clinical significance: Mortality in our population was low and most dogs that died did so within 48 hours of hospitalisation, regardless of management type.