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ICCJ lymph node Abcess vs Neoplasia, take II

Sonopath Forum

Sonopath Forum

ICCJ lymph node Abcess vs Neoplasia, take II

This is a re-scan on the patient TOMMY, 10 days after antibiotic therapy (earlier post as tiflitis/cecum).

I’m afraid owner did not allow any sampling and only a brief scan was possible to see if any changes happened.

Turns out the bilobbed structure is now only one hypoechoic lession, half the size as before and the elongated structure is not present.

This is a re-scan on the patient TOMMY, 10 days after antibiotic therapy (earlier post as tiflitis/cecum).

I’m afraid owner did not allow any sampling and only a brief scan was possible to see if any changes happened.

Turns out the bilobbed structure is now only one hypoechoic lession, half the size as before and the elongated structure is not present.

I hope I will manage to re-scan again in approx 2 weeks, and I insisted it still needs sampling because it can still be neoplastic, but I thought I would update and see what your thoughts are. Owners are cost restrained and very doubtedly will go ahead for any sampling. They even rejected draining/sampling on the first place.

I used power doppler this time and only a periphereal vessel was captured.

There was still significant generalized mesenteric reaction, not just regional, but inbetween liver lobes. Cat was doing generally better.

Thank you for any input.

Comments

EL
April 9, 2017 at 2:27 pm -

thanks for the followup.

thanks for the followup. Forum community here is th elink to the prior thread on thsi case

https://sonopath.com/forum/tiflitiscecum-abscess

The intestine and LN are still meeting neoplastic crietria but neoplasia doesnt typically respond to abs unless there is concurrent sepsis to the lesion which may be the case here…or its a transmural inflammatory lesion and accompanying spetic LN thats meeting neoplastic criteria which happens… FIP does this as well in dry form. In the end its our job to treat them on whatever works despite the checkbook scenario… maybe just keep treating it out… I like baytril clindamycin here or baytril metro and follow-up in another week. great thread!

Anonymous
April 10, 2017 at 12:33 am -

Thank you Eric. I’ll keep you
Thank you Eric. I’ll keep you posted!

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