Hepatic Mass

Sonopath Forum

Ozzie is a 13 year old Lab mix with a history of elevated hepatic enzymes. Clinically doing well.

Ultrasound done today. I want to make sure that I am interpreting my cine’s and .jpgs correctly.

 

1. Am I seeing a large gallbladder mucocele with a dilated cystic duct?

2. Is there a large well organized hepatic mass?

3. The mass is huge and it is medial to the gallbladder. What lobe is the mass associated with? Can

it be resected?

Thanks for any feedback on this case.

 

Ozzie is a 13 year old Lab mix with a history of elevated hepatic enzymes. Clinically doing well.

Ultrasound done today. I want to make sure that I am interpreting my cine’s and .jpgs correctly.

 

1. Am I seeing a large gallbladder mucocele with a dilated cystic duct?

2. Is there a large well organized hepatic mass?

3. The mass is huge and it is medial to the gallbladder. What lobe is the mass associated with? Can

it be resected?

Thanks for any feedback on this case.

 

Comments

randyhermandvm

EL-
You will be speaking at

EL-

You will be speaking at the Minnesota Veterinary Medical Convention in Feb. I plan on attending and finally meeting you. Looking forward to your presentation.

 

 

randyhermandvm

EL-
You will be speaking at

EL-

You will be speaking at the Minnesota Veterinary Medical Convention in Feb. I plan on attending and finally meeting you. Looking forward to your presentation.

 

 

EL

Hi Randy the mass looks left

Hi Randy the mass looks left sided which can be removed with that GB mucocele but have to get right intercostal and subxyphoid views of the portal hilus to ensure the right liver and crucial sturctures such as the pv cbd cvc and ao are not involved and the mass doesnt adhere the diaphragm. If the mass is on the left or caudal process and these curcial structures are not involved then it can be resected.

When in doubt rec a presurgical CT. But if you search out resectable liver mass on the sonopath basic search you will read through resectable vs non descriptions in the interpretation as well.

http://sonopath.com/members/case-studies/search?text=resectable+liver+mass&species=All

Yes looking forward to minnesota please come up and say hello!:)

EL

Hi Randy the mass looks left

Hi Randy the mass looks left sided which can be removed with that GB mucocele but have to get right intercostal and subxyphoid views of the portal hilus to ensure the right liver and crucial sturctures such as the pv cbd cvc and ao are not involved and the mass doesnt adhere the diaphragm. If the mass is on the left or caudal process and these curcial structures are not involved then it can be resected.

When in doubt rec a presurgical CT. But if you search out resectable liver mass on the sonopath basic search you will read through resectable vs non descriptions in the interpretation as well.

http://sonopath.com/members/case-studies/search?text=resectable+liver+mass&species=All

Yes looking forward to minnesota please come up and say hello!:)

randyhermandvm

Thanks EL
I will make sure I

Thanks EL

I will make sure I get those views.

 

randyhermandvm

Thanks EL
I will make sure I

Thanks EL

I will make sure I get those views.

 

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