Hello - I hope you don't mind my answering your question with a question but there is an interesting position that frequently comes up on this site, whereby an animal has obviously been to the vets, excellent x-rays have been taken and then the client turns to a stranger online to ask us to read it. Immediately I have questions; what did your vet say? What was it about what your vet said, that had you question it? Obviously, your vet has much more context than I do; they know a lot about the onset of the problem and age of the patient and should therefore be in a much better position to advise you than me. So I am genuinely curious about the process that led you to post these radiographs here - are vets doing something wrong in the way we give out information and how could we, as a profession, improve it? More to follow
Please be aware that I am looking at this on a phone screen, completely out of context, so any suggestions that I make might be far inferior to your vets'. I wondered about fungal infection and I wondered about cancers (famously difficult to tell apart, although age might be in the patient's favour). A good question for your vets is: how would you describe this lung pattern? What are frequent causes of this lung pattern in cats of this age? What do we need to do now, in order to tell the differentials alart? Would an expert radiologist have more information?
Finally, I wanted to say that it must be incredibly hard to see your kitten this way. There may be a procedure for getting a fast formal second opinion, in sufficient context and detail, of the radiograph - and vets do tend to like getting second opinions because if we are right, it is always nice to be validated and if we are wrong, we will learn something. I hope that the Oxygen was helpful for your boy and that a constructive decision-making process followed.
Hello! I am going to have another go at answering your question as my first answer didn't read as well as it might have. It is scary and emotional when your cat is on Oxygen for breathing problems and I understand that it doesnt feel as if you have enough information here. We are unable to read radiographs on this website; our mnagement feels that it is stepping over the line of professionalism, given that your vet will have more context and clearer pictures than me. A good question for your vet is, 'what can cause breathing problems in a cat in this case?' and 'Which can you rule in or out' and 'what else can you do to distinguish between them?' From my tiny picket phone screen for example, I cannot rule out cancer or fungal disease fromthis radiograph, but your vet might have more context than I do. I hope that something here is helpful.
Hello, Liz! Thanks a lot for your answer. It's been two weeks, and we aren't yet closer to the answer of what it might be. The reason that i posted it here is a deficiency of good specialists where we live. English is not my first language and we live in a third world country. So i thought an opinion of someone from a country with more developed industry might be helpful. What happened is our veterinarian that we went to and used to get our health treatment from left, and the other one that we used to go to (who's also the radiologist of the clinic) was under a workload and also sick. We were exemined by a young veterinarian who when sitting with us in an xray room and seeing the xray for the first time immediately said to his colleague that those are metastasis... I was shocked. The other one also said that those lungs look really white and weird and told him to immediately take a photo of them and send them to the radiologist. When the vet walked to me later, while i was waiting in a procedure room, with my cat in an oxygen box that they put him in for half an hour, he told us that our cat has a severe case of bronchitis and is going to undergo antiobiotics + some other injections against iflammation treatment. When i asked him about the risks of it being cancer, he carefully told me that it might be lymphoma and that we need to do a general blood test to rule it out.
When a few days later i finally got to talk to our radiologist she told us about that it could be a variety of causes. Also i feel as if she was trying to soothe me by saying that from blood tests i gave her there are no signs of cancer. Which i know can only be told by implication. She told it could be tuberculosis, fungal infection or lungworms etc. And told us to go on with antiobiotics and repeat an x ray after 5 days
What i did next was probably a huge mistake as i listened to a woman i know online that had a few cats with cases of fluid in their lungs. And she told me that if i'm not going to get him a oxygen concentrator(which still was a good advice) and inject him with diuretics a curtain amount of time daily he's gonna die