3 year old Castrated Male Domestic Shorthair Feline

History:

A 3 year old castrated male domestic shorthair cat was presented at a referral veterinarian because of one week of respiratory distress that progressed to open mouth breathing, dyspnea, and lethargy. Clinical signs were somewhat improved with oxygen but did not improve with maropitant, aminophylline, furosemide, or dexamethasone. He was referred to a specialty hospital and arrived unresponsive and not breathing. He was intubated, CPR was initiated, and the patient revived after 2 minutes of chest compressions and manual ventilation, and ultimately became mentally alert. Thoracic radiographs were obtained after the patient stabilized.

 

   

Questions for discussion after reviewing images:

What are the prioritized differential diagnoses based on the survey radiographs?
What are the recommendations regarding either further imaging/diagnostics or therapy, based on the radiographs?

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