Liver masses

Liver masses

10 year old FN JRT with cushings disease, on trilostane Progressive abdominal swelling, recent vomiting and diarrhoea with mild pyrexia Multiple heterogenous liver masses, some distorting contour, also lymph node enlargement The adrenal glands to not appear to be the primary cause What would your top differential for this be? Are there any clues to…

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