A 6-year-old, 420-kg quarter horse gelding was presented with a 2-month his
tory of difficulty swallowing and dyspnea. The horse was diagnosed with a r
ight guttural pouch empyema with many large chondroids. Two surgeries were
required to completely remove all the chondroids from what proved to be a p
rimary distension of the guttural pouch lateral compartment.