– 13 yr old FS Yorkie mix with history of chronic wt loss, decreased appetite, lethargy

– anemia, neutrophilia, low albumin, high globulin and elevated urea on bloodwork

–  diffuse pattern of hypoechoic nodules in the spleen -some almost target-like

– broad-based hyperechoic mass in the urinary neck with positive colour flow on Doppler

– FNA’s and biospies are unfortaunately declined and owner opted for palliative care at this stage.

– 13 yr old FS Yorkie mix with history of chronic wt loss, decreased appetite, lethargy

– anemia, neutrophilia, low albumin, high globulin and elevated urea on bloodwork

–  diffuse pattern of hypoechoic nodules in the spleen -some almost target-like

– broad-based hyperechoic mass in the urinary neck with positive colour flow on Doppler

– FNA’s and biospies are unfortaunately declined and owner opted for palliative care at this stage.

Lymphoma would be my rule-out in the spleen with possibility of other round-cell neoplasia (benign hyperplasia and EMH also possible). And I am concerned about TCC, carcinoma in the bladder.

My main question is, can TCC met to the spleen or do we have two separate lesions here?