Mass or thrombus in CVC near R adrenal

Mass or thrombus in CVC near R adrenal

8 yo MN Pitbull seen at the ER last week for dyspnea/coughing. Severe pleural effusion. 1.6L removed, transudate.  Normal bloodwork.  Pitting edema all 4 legs.  Today, P is doing better, still some pleural effusion, no pericardial effusion, normal heart on brief echo.  Scant peritoneal effusion.  Right pancreas was thickened (2cm), irregular, with a dilated vessels….

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