Thoracic mass
10 year old Pomeranian with a chronic cough Rads looked like there were two cardiac silhouettes Left sided cavitatory mass was displacing heart to the right with a rounded LN cranial to mass Does this look like a lung carcinoma/sarcoma? Can I rule out an abscess? Owners did not want to sample/investigate further
Gastrocaval PSS?
1 year old Bichon Frise, picky appetite, underweight, ‘syncope’ episodes, elevated liver enzymes, BAST pending Microhepatica, renomegaly, small bladder calculi, small PV, large VC and normal AO at portal hilus I think this is a looping gastrocaval shunt, is this correct?
Cranial mediastinal mass
8 year old MN Old English Sheepdog with hypercalcaemia and inappetance Pleural effusion with echogenic cranial mediastinal mass and two smaller masses (LNs) cranially? What is your impression of this mass, all lymph nodes with suspect lymphoma? I have taken aspirates of the larger mass and the confluent smaller more cranial mass also
Mediastinal mass?
15 year old FN Bichon Frise with collapse after coughing and reacts to being picked up by ventral thorax Sounds like a tussive syncopy but there appears to be a cranial mediastinal mass on thoracic rads, agreed? Cardiac exam was normal and I could not find a cranial mediastinal mass on ultrasound Any tips on…
Haemorrhagic pleural effusion
12 yo MN GSD, mildly anaemic and tachypnoeic, no history of cough Pleural effusion appeared haemorrhagic when tapped What is mass type lesion at heart base and on transdiaphragmatic view on ultrasound? Xray is also unusual, any insight?
Pancreatic mass?
7 year old Shih Tzu with inappetance and diarrhoea and abdominal pain Large heterogenous and mineralised? mass caudal to stomach which appears to be extending from left limb of pancreas. liver, spleen, kidneys, AGs normal. Multiple rounded lymph nodes and free abdominal fluid Can you make out origin of this mass? Carcinoma most likely? FNAs…
LI thickening and lymphadenopathy
7 year old JRT – weight loss, inappetance, diarrhoea Bloods: mild anaemia, mild hypoalbuminaemia, mild hyperglobulinaemia, neutrophilic leukocytosis (no smear) No response to antibiotics Scan: thickened large intestine esp proximal section with loss of layering, altered layering of ileum, rounded hypoechoic local lymph nodes with surrounding steatits I felt like I got good FNAs of…
Suspect PSS
8 year old YST being treated medically for hepatic encephalopathy (with success) for one year Pre and post BAST high (64 and 88, range 0-10), albumin moderately decreased 17 (26-40), liver enzymes x4 upper limit Am I seeing the shunting vessel here, how would you classify it? I don’t think I will ever enjoy the…
Sinus tachycardia
10 year old border collie, presented 2 weeks prior with sudden onset weakness and ataxia Tachycardic with strong apex beat and soft right sided murmur on exam, seemed to partially respond to ACE-I and pimobendan but still tachycardic and quiet Echo – TR with velocity 2.8m/s, Chamber sizes seem normal, do you think the TR…
Lymphadenopathy in a cat
14 year old MN DSH presented with clinical jaundice and inappetance, Bloods: mildly increased liver enzymes, and moderately increased tbil, HCT normal, globulin high normal, fPLI positive Responded to supportive treatment which included maropitant, analgesia, antibiotics, steroids Now severely anaemic (HCT 15, regenerative), clinically improved, faeces normal colour, ALP mildly increased, Tbil normal A few…