Hello,

This is a 14 years old M/N Bichon that was diagnosed with an abdominal mass during a routine PE . Patient has CRD, moderate increase in ALKP, dental disease; not symptomatic 

Patient has a splenic mass, no free fluid ; owner understands malignant vs benign but declined FNA due to old age 

My question: due to architecture, echogenicity, linearity of splenic capsule does it suggest being a benign mass ? like  non-HSA and non-lymphomatous sarcomas of the spleen? Would elastography give more info and potentially differentiate inbetween benign versus malignant ? does many people use elastography these days ? 

Thank you