10 year old FS DSH with chronic vomiting and weight loss


10 year old FS DSH with chronic vomiting and weight loss

Blood work is pending

Immediately dorsal to the descending duodenum are strongly hypoechoic elliptical structures with adjacent reactive echogenic fat.  In some views, it looks like pancreas.  In other views, they more closely resemble reactive lymph nodes.  FNA’s were not allowed.  What do you think? 

Rest of abdominal US showed diffuse, echogenic fat adjacent to the small intestine, slightly thickened GB wall, and mild renal degenerative changes.

10 year old FS DSH with chronic vomiting and weight loss

Blood work is pending

Immediately dorsal to the descending duodenum are strongly hypoechoic elliptical structures with adjacent reactive echogenic fat.  In some views, it looks like pancreas.  In other views, they more closely resemble reactive lymph nodes.  FNA’s were not allowed.  What do you think? 

Rest of abdominal US showed diffuse, echogenic fat adjacent to the small intestine, slightly thickened GB wall, and mild renal degenerative changes.

 


One response to “10 year old FS DSH with chronic vomiting and weight loss”

  1. These are all mesenteric LN

    These are all mesenteric LN …length to width ratio suggests reactive instead of neoplastic and there is bright inflamed fat. If you fna then be sure to culture for bad bugs.

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