Julian treats a seriously ill llama called Echo who is struggling to breathe, and he has the tricky job of conducting his very first llama chest X-ray. Elsewhere, Walter the pug arrives at Huddersfield hospital with a painful knee problem, so Matt and Martin put him through the CT scanner as they try to work out what is causing the pain.

Peter Wright is concerned about a tawny owl whose eye he removed 18 months ago and now has a serious problem with its remaining eye, which means its life is in danger. Meanwhile, Julian Norton visits a local dairy farm to help a new mother, and back at the surgery he and his team battle to save a litter of unborn puppies.