Associations Between Thoracic Ultrasound Chute-Side Evaluations and 60-Day Outcomes in Feedyard Cattle at Time of First Treatment for Respiratory Disease

Accurate prognosis at first treatment for bovine respiratory disease (BRD) is essential for timely interventions and management decisions. This cross-sectional observational study evaluated 819 commercial beef feedyard cattle at chute-side for first BRD treatment. Logistic regression models examined potential associations between two outcomes-first treatment failure (requiring additional treatment) and unfinished treatment (due to mortality or culling)-and several explanatory variables, including sex, days on feed, bodyweight, breed, pulse oximetry, lung auscultation scores, and ultrasound lung scores (ULS) measured in the caudo-dorsal lung region. Animals that ultimately did not finish treatment were significantly more likely to present a ULS of 5 (74%) compared with those scored 1-4 (18-38%). Similarly, cattle with a ULS of 5 had a much higher probability of first treatment failure (74%) than those with scores of 1-3 (35-41%). Moreover, three or more B-lines in the ultrasound image or a "moth sign" finding were both strongly associated with increased probability of negative outcomes. These results highlight key ultrasound-based and demographic factors that serve as practical prognostic indicators for cattle at the onset of BRD treatment.