Liz Buchanan BVSc MRCVS
Keymaster
It sounds as though you want a second opinion on a radiograph. We don't give those, I'm afraid - when getting a second opinion, the form is to go to someone either more experienced or specialised than your previous vet, otherwise - if one vet thinks one thing and one another - how will you judge who is correct? - where as if the vets are discussing it together, debating ideas with one another, or if there is an established heirarchy of experience (eg one is an established radiologist), then second opinions can be quite beneficial. In a case where there looks to be a hernia, the medical exam, history and radiograph would be used together to make a diagnosis. My first thought from glancing at this was to suspect diaphragmatic hernia, but of course I have not examined the patient. I was just returning to explain that having checked an external source, it seems that when there is history of a long-running chronic diaphragmatic hernia, vets may increasingly decide against operating on the basis of chronicity - the cat having survived already with a hernia for quite some time. Another interesting point of discussion is that the anatomy of a cats' chest can look extremely peculiar with a hernia, because nothing is where it is meant to be. Pleurisy simply means inflammation of the pleura, which may not be surprising in the event of a diaphragmatic hernia and is not a word I hear used very much in veterinary medicine.
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