- 13 year old MN Persian with history of vomiting, anorexia, and depression
- Bloodwork showed a positive fPLI
- Abdominal ultrasound shows an enlarged hyperechoic left pancreas, enlarged hypoechoic pancreatic body and right pancreas with adjacent clumping echogenic fat
- The right kidney is misshapen with moderate renal pelvic dilation and a hypoechoic rim. Clumping reactive fat is present adjacent to the right kidney (and right pancreas). There is also what looks like a small stone in the right renal pelvis
- 13 year old MN Persian with history of vomiting, anorexia, and depression
- Bloodwork showed a positive fPLI
- Abdominal ultrasound shows an enlarged hyperechoic left pancreas, enlarged hypoechoic pancreatic body and right pancreas with adjacent clumping echogenic fat
- The right kidney is misshapen with moderate renal pelvic dilation and a hypoechoic rim. Clumping reactive fat is present adjacent to the right kidney (and right pancreas). There is also what looks like a small stone in the right renal pelvis
- Differential diagnoses for the pancreas include severe pancreatitis and neoplasia (carcinoma)
- Differential diagnoses for the right kidney hypoechoic rim include neoplasia (carcinoma, lymphoma) and FIP. Differentials for the renal pelvic dilation include neoplasia, pyelonephritis, and obstruction.
- US guided FNA performed on the abnormal pancreatic/fat tissue and cytology is pending.
- Any other thoughts? The plan is to provide aggressive medical management over the weekend while awaiting cytology results.
Comments
Ugly pancreas needs a needle
Ugly pancreas needs a needle necrosis vs carcinoma or even panc lsa. RK is a mass likely round cell neoplasia with a distorted subcapsular halo and capsular escape. 25g fna of both organs should tell the complete story.
Thanks Eric. This is probably
Thanks Eric. This is probably the ugliest cat pancreas I have ever seen. I just did an FNA of the pancreas since it was 6pm on a Friday and didn’t want to run the risk of a kidney bleed. Will pursue FNA of kidney next if pancreatic FNA is nondiagnostic.