Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 15 years of experience. I look forward to working with you.
This is concerning for Holly. Did your veterinarian remove as much of the fluid as possible (thoracocentesis) and then repeat an xray afterwards to look for underlying causes (like a tumor or heart failure)? And was a sample of the fluid removed submitted to the lab for cytological evaluation and culture?
There is a short list of possible causes of fluid in the chest and removing some for a sample is the first step. If the fluid is blood or chyle then this is fairly obvious and diagnostic testing and treatment can proceed down the route of pursuing that problem. Most commonly the fluid is fairly clear, and then is usually due to either heart failure or a tumor that is around a vessel.
I always counsel my owners that regardless of the cause and given her age, the prognosis is not good and even upon removal (which will help her breathe better and feel better), it will recur unless there is a treatable problem such as heart disease. Unfortunately this is most commonly due to a tumor.
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following a blood test and exray on our dog holly , from the blood test is it not possible to detect a cancer tumor or other problem like you can do in a human blood test