Small Intestinal Mass
13 year old FN CKCS x Bichon Hx meleana, inappetance, lethargy, pyrexia and severe abdominal pain Neutrophilic leukocytosis, borderline anaemia and mild-mod elevated liver enzymes Very large hypoechoic and cavitatory small intestinal mass with localised free fluid and lymph node enlargement Liver has mixed sized hyperechoic nodules Also have a video of body of pancreas…
Multicentric neoplasia
14 year old MN Lab x, hx collapse, vomiting Increase liver enzymes + anaemia on bloods VPCs on ECG Abdo scan – diffuse heterogenous liver changes, diffuse gastric wall thickening, hypoechoic splenic lesions + lacey lesion at hilus Liver and spleen have been sampled, what would your top differentials be? Lymphoma? Lymph nodes were not…