Presentation:
A 6 month old intact male mix breed canine was presented to AcaseAweek Clinic as an emergency after being hit by car (HBC) the previous night. On physical exam the dog was bright, alert and responsive (BAR), has abrasions distal to the hock and on the metatarsal region of both hind limbs. Mild weight bearing lameness on the right hind limb was observed. Radiographs of the abdomen and pelvic region were normal. The abrasions were cleaned and dog was discharged on Rimadyl 25 mg BID for 5 days. Three weeks later the dog was brought to the clinic again with chief complaint of dyspnea and exercise intolerance.
Physical examination:
- Temp: 101.5
- HR/PR: 96
- Respiration: Laboured breathing
- Auscultation of thorax revealed muffled heart sounds and harsh lung sounds.
CBC, chemistry and electrolytes were all within normal range.
Thoracic radiographs were taken (lateral and VD view) and are shown below:
 
Give interpretation of the radiographs.
What is your diagnosis?
How will you treat and manage this case?
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This is typical of Diaphragmatic hernia.
Treatment is to stabilize the patient and surgical correction.