A 9-year-old SF Labradoodle was presented for evaluation of exercise intolerance and difficulty walking on steps. On physical examination, a heart murmur and hepatomegaly were evident. Urinalysis was normal. Serum biochemistry showed elevated ALP activity (410). On survey radiographs hepatomegaly, displaced stomach, and a possible splenic mass were present.
Slight enlarged left adrenal gland with nodule.
Right adrenal mass that deviates the right kidney caudally and begins to invade the vena cava. The mass wraps around the vena cava and is mildly to moderately vascular.
The left adrenal gland revealed a slight, hyperechoic nodule at the cranial pole that measured 0.73 x 0.43 cm. The left adrenal gland was slightly enlarged and measured 2.94 x 0.93 cm at the cranial pole and 0.82 cm at the caudal pole. The right adrenal gland comprised a mixed, echogenic mass that measured 4.84 x 4.8 cm with pericapsular inflammatory pattern. This deviates the right kidney caudally and begins to invade the vena cava. The mass wraps around the vena cava. The mass is mild to moderately vascular. The mass impinges on the liver cranially. Significant pericapsular inflammatory pattern and potential hematoma was also noted.
The liver was uniformly enlarged with left lateral lobes uniformly pronounced as was the caudate process. No other evidence of neoplasia was noted.
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Murmur – cardiomyopathy, vegetative endocarditis, endocardiosis, physiological
Hepatomegaly – neoplasia, congestion, reactive hepatopathy, vacuolar hepatopathy
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