- 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 with hypoechoic lesions, are these lymph nodes
- Would carcinoma be the top differential here?
- 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 with hypoechoic lesions, are these lymph nodes
- Would carcinoma be the top differential here?
- I appreciate sampling in needed but owners not willing and always trying to learn!
- Thank you.
Comments
The echoes wihtin the mass
The echoes wihtin the mass are luminal gas bangs (lumen is deviated owing to the mass effect concentrically) and the mass is uniform hypoechoic undifferentiated tissue I would be thinking lsa first then carcinoma and blood loss may be intestinal if not in the bone marrow as well if not regenerative. The LN is starting to distort so may be metted there. Easy needle into the mass cyto should give the answer.
Great thanks.
Great thanks.