The patient is a neutered male, 12 year old, Havanese dog. There is concern for enlarged spleen on abdominal palpation. Bloodwork abnormalities include albumin of 2.3 and ALP of 357. The dog is also anemic with an HCT of 23%
Case Study
Splenic and hepatic lymphosarcoma in a 12 year old MN Havanese
Sonographic Differential Diagnosis
Given the hepatic lymphadenopathy, infiltrative disease is likely. Multicentric lymphoma pattern or similar neoplasia.
Image Interpretation
The spleen was enlarged with micronodular changes and a scalloping contour. The liver was swollen and mildly irregular. A hepatic lymph node was mildly enlarged and measured 1.13 x 0.9 cm. A separate, larger node was noted and measured 2.6 x 2.01 cm. The inguinal lymph nodes were enlarged, hypoechoic and irregular. Iliac lymph nodes were also enlarged and measured 1.8 cm. Regional inflammatory pattern was noted.
DX
Multicentric lymphosarcoma
Outcome
None
Comments
Cranial mediastinal imaging and chest radiographs are recommended.
Clinical Differential Diagnosis
Splenic neoplasia, GI/other neoplasia, GI blood loss/gastroenteritis, protein-losing nephropathy, bone marrow disease.
Sampling
Ultrasound-guided FNA of the spleen and hepatic lymph nodes were completed without complication. Cytology revealed lymphoma.
Video
Patient Information
Patient Name :
Teddy D
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
08_00118
Exam Finding
- Splenomegaly
Images
Blood Chemistry
- Albumin, Low
- Alkaline Phosphatase (SAP), High
CBC
- Hematocrit, Low
- RBC, Low