A 10-years-old MN Labrador cross was presented for evaluation of mild anemia, leukocytosis, possible mass, lameness, and weakness.
Case Study
Renal Mass, Lung Neoplasia in a 10 year old MN Labrador Retriever mix
Sonographic Differential Diagnosis
Renal mass and lung mass likely metastatic round cell neoplasia or similar. Potential hepatic involvement. .
Image Interpretation
Left kidney presented a 6.36 x 4.6 cm mixed hypoechoic mass with pericapsular inflammatory pattern deriving from the caudal cortex. Left kidney itself measured 8.9 cm. Regional lymph nodes did not appear overtly affected. Retroperitoneal infiltration by the kidney mass was also noted as the body wall appeared to lose detail.
Right caudal lung revealed a mixed hypoechoic mass measuring 9.1 x 6.2 cm with peripheral air entrapment indicative of a lung mass. The lung mass very well could be separate issue or related to the kidney mass itself. Regional inflammation noted throughout cranial abdomen.
DX
Liz please help here
Outcome
None
Comments
Poor prognosis. Immediate chemotherapeutic intervention recommended.
Clinical Differential Diagnosis
abdominal pathology – mass (neoplasia, cyst, granuloma, abscess of spleen/kidney/mesentery/lymph node);
Rupture splenic/hepatic tumor;
Immune-mediated hemolytic anemia
Sampling
FNA of the lung mass malignant neoplasia, necrosis and inflammation. FNA of the kidneys revealed a renal tubular cell population, cellular disintegration, and cell population with atypia.
Video
Video Player
00:00
00:00
Video Player
00:00
00:00
Patient Information
Patient Name :
Sugar Bear D
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
06_00211
Clinical Signs
- Lameness
- Weakness
Images
CBC
- RBC, Low
- WBC, High
Clinical Signs
- Lameness
- Weakness