An 11-year-old MN Golden Retriever was asymptomatic and presented for a geriatric workup. Physical examination was normal. Laboratory analysis revealed moderately elevated SAP, moderately elevated cholesterol, and moderately elevated GGTP. Urinalysis was normal.
An 11-year-old MN Golden Retriever was asymptomatic and presented for a geriatric workup. Physical examination was normal. Laboratory analysis revealed moderately elevated SAP, moderately elevated cholesterol, and moderately elevated GGTP. Urinalysis was normal.
Case Study
Vacuolar hepatopathy, benign nodular hyperplasia in a 11 year old MN Golden Retriever dog
Sonographic Differential Diagnosis
Chronic inflammatory hepatopathy with nodular hyperplasia and neoplasia.
Image Interpretation
Transverse image of the left liver reveals diffuse hyperechoic, heteroechoic parenchyma and a solitary, discrete 1.3-cm hypoechoic nodule.
DX
Biopsy parenchyma: vacuolar hepatopathy. Biopsy nodule: benign nodular hyperplasia
Outcome
The patient remained asymptomatic over the next 6 months with gradual low-grade increased SAP values.
Comments
No video is available on this patient.
Clinical Differential Diagnosis
Liver pathology: low-grade hepatitis, vacuolar hepatopathy, biliary disease, neoplasia.
Sampling
16-gauge US-guided biopsy of the random parenchyma revealed vacuolar hepatopathy, whereas biopsy of the solitary hypoechoic nodule demonstrated benign nodular hyperplasia
Patient Information
Patient Name :
Harley W
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
03_00059
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- Cholesterol, High
- GGT High