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History

A 10-month-old sexually intact male Shetland Sheepdog was evaluated by its primary veterinarian for a 1-day history of decreased appetite and mild lethargy. On physical examination, the dog was noted to have increased respiratory rate and effort with decreased lung sounds on the left side. The dog was not receiving heartworm preventative. The veterinarian performed survey radiography, made a diagnosis of pneumothorax, and performed bilateral thoracocentesis. The dog was referred to a surgical center for advanced imaging and continued care.

On evaluation at the referral center the following day, the owner stated that the dog seemed clinically improved, with

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in Journal of the American Veterinary Medical Association