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Bladder lesion in a 11yr old FS Chihuahua X

Sonopath Forum

Bladder lesion in a 11yr old FS Chihuahua X

  • 11 yr old FS Chihuahua X initially presented for shaking, diarrhea, and resolving pancreatitis
  • Initial abdominal ultrasound was unremarkable except for a 7.0mm focal wall thickening in the bladder just proximal to the cystourethral junction. 
  • Bladder tumor antigen test was positive.  U/A was wnl with no evidence of infection or inflammation.
  • Follow up ultrasound performed 1 month later shows no significant change in size or appearance of the lesion.
  • The dog continues to be asymptomatic.
    • 11 yr old FS Chihuahua X initially presented for shaking, diarrhea, and resolving pancreatitis
    • Initial abdominal ultrasound was unremarkable except for a 7.0mm focal wall thickening in the bladder just proximal to the cystourethral junction. 
    • Bladder tumor antigen test was positive.  U/A was wnl with no evidence of infection or inflammation.
    • Follow up ultrasound performed 1 month later shows no significant change in size or appearance of the lesion.
    • The dog continues to be asymptomatic.
    • What am I seeing here?  Cancer seems unlikely due to lack of progression and no clinical signs.  Is this a benign polyp?  Ectopic ureter?  Prominent ureteral papillae?

     

Comments

EL

These look like prominent u

These look like prominent u paps wiht hypertrophy/hyperplasia… I see this in stone movers a lot. Any stones in the kidneys? BTW dont trust the BTA testing + its just a reaosn to do a sonopgram its very non specific I see it up all the time wiht negative scans. I sure hope nobody is using the Cancer word on that test alone:(

Electrocute

Medullary rim sign is present

Medullary rim sign is present but no renoliths. I only know of one of my clinics that uses the BTA test and they get false positives all the time.  And they always have me follow up with a scan.  Thanks for your input!