– 3 year old FS overweight Lab x with history of anorexia and lethargy

– bloodwork showed elevation in ALT (around 500) other parameters wnl; no cPLI run

– chest rads suspicious of mass in cranial thorax

– u/s showed a target-like lesion in the liver, a large cavitiated mass in the region of the left pancreatic limb, enlarged jejnunal LN’s and a heterechoic mass in the cranial thorax

– FNA’s are pending; did get cystic fluid from the large mass as well that I spun down and submitted cytology

– 3 year old FS overweight Lab x with history of anorexia and lethargy

– bloodwork showed elevation in ALT (around 500) other parameters wnl; no cPLI run

– chest rads suspicious of mass in cranial thorax

– u/s showed a target-like lesion in the liver, a large cavitiated mass in the region of the left pancreatic limb, enlarged jejnunal LN’s and a heterechoic mass in the cranial thorax

– FNA’s are pending; did get cystic fluid from the large mass as well that I spun down and submitted cytology

– as I could not identify the left limb of the pancreas, I could not rule out a pancreatic mass, but I wonder if this could just be a big LN? What do you think?

– with all of this going on, I would put neoplasia high on the list but what else could this be?

The first image is the cranial abdominal mass, the second are the jejunal LNs