- 13 year old MN Springer Spaniel mix presented for several months duration of ADR: shaking, acting painful
- Abdominal radiographs show a possible abdominal mass
- Abdominal ultrasound shows a coalescing cystic mass at the juncture of the abdominal aortal and cranial mesenteric artery, a hypoechoic mass deep to the major vessesl, multiple bilateral renal cortical cysts, and a prominent, hypoechoic pancreas with slightly irregular margins.
- 13 year old MN Springer Spaniel mix presented for several months duration of ADR: shaking, acting painful
- Abdominal radiographs show a possible abdominal mass
- Abdominal ultrasound shows a coalescing cystic mass at the juncture of the abdominal aortal and cranial mesenteric artery, a hypoechoic mass deep to the major vessesl, multiple bilateral renal cortical cysts, and a prominent, hypoechoic pancreas with slightly irregular margins.
- Color flow Doppler was hindered by patient shaking and panting, however, there does not appear to be major, direct blood flow from the aorta to the mass.
- My primary differential diagnoses for the cystic mass includes hemangiosarcoma and cystic carcinoma. I also have abscess, migrating foreign body, and parasitic on the list, but less likely. Differential diagnoses for the renal cysts include congential, acquired, and primary or metastatic neoplasia. Differential diagnoses for the deep hypoechoic mass includes primary or metastatic neoplasia and reactive lymph node.
- Bloodwork is pending.
- The first video clip is sagittal, moving cranial to caudal starting at the right kidney.
- Would you recommend FNA or this too risky due to its cystic nature and close association with the major vessels? CT? Exploratory surgery?
- Bloodwork is pending.
