Adrenal masses with possible mets
11 year old collie x FN dog, presented for possible abdominal pain Bilateral adrenal masses, left 2cm distorting shape but does not appear to be invading vasculature Also seeing what I think are local lymph nodes? – hypoechoic striated structures by ven, adrenal glands and pylorus Subtle irregular contoured hypoechoic liver lesions – do these…
MVD + AF + ascites
9 year old FN Weimeraner with CHF, degenerative mitral valve disease, severe mtiral regurgitation, left atrial enlargement and atrial fibrillation with large volume abdominal effusion Weight loss, decreased appetite and loose faeces – decreased albumin, globulin and cholesterol There was also pulmonic regurgitation and tricuspid regurgitation (but not at level of pulmonary hypertension) but the…
Bile duct obstruction
9 year old FN Basset Hound presented with inappetance, weight loss and jaundice, progressed rapidly The CBD is distended but I found it difficult to follow back to intestine I can see a mass obstructing the duct and enlarged/rounded lymph nodes Is this a primary pancreatic mass do you think? Also a hyperechoic nodule in…
Splenic mass
9 year old ME Corgi with high suspicion for HAC Incidental splenic mass, what do you think this mass may be?
Hepatomegaly
9 year old MN Akita x Husky Progressive lethargy, severe weakness, intermittent diarrhoea and significant weight loss Bloods mild anaemia, ALP severely elevated ( x10 upper limit) and mildly elevated ALT ( x2 upper limit) BUT was on steroids Was seen for cardiac work up as was tachycardic and pot bellied – was on pimobendan…
LN?
10 year od WHWT presented vomiting Largely unremarkable ultrasound exam apart from two small hypoechoic lesions, one caudal to stomach, adjacent to left limb of pancreas and and another adjacent to right limb of pancreas Are these gastric and pancreaticoduodenal lymph nodes or should I be concerned about pancreatic masses? Blood glucose was normal.
Head swelling
6 year old mountain dog initially presented with exopthalmos and possible retrobulbar abscess Resolved with course of antibiotics Represented with swelling on side of head between orbit and ear CT – multicavitatory fluid filled space-occupying lesion of right peri-orbital region with surrounding steatitis compatible with abscess granuloma. Mild periosteal reactions of right zygomatic bone and…
Biceps tendon
6 year old Boxer with elbow dysplasia and shoulder pain I think there is a mildly heterogenous biceps tendon with mild fluid accumulation Anything to add to that? Potential synovial thickening?
Liver mass
11 year old JRT presented with pu/pd and incontinence Urine sg 1.005, later concentrated following fasting/water being withheld to 1.020, laboratory urine sg 1.004 Bloods: ALP>>ALT, mild increase in resting bile acids, cholesterol normal, ACTH stim wnl Was started on incurin and incontinence resolved, owner thinks not now polydipsic Abdominal ultrasound showed large (3x3cm) heterogenous…
Swollen mandible
Young adult terrier x dropped at pound 3 months ago with dropped jaw Now both rami have firm swelling Inappetant, pyrexic, enlarged SMLN Any comment on the xray changes?