Adrenal masses
14 year old MN Shih Tzu with abdominal pain and weight loss. Nodular liver, mineralised/old age kidneys and enlarged adrenal glands. Do you think this is most likely adenocarcinoma? Does this occur bilaterally? Is there vascular invasion? No clinical signs consistent with phaeochromocytoma and apparently not with cushings.
SAM and HCM
9 month old male neutered Bengal with a heart murmur. Can you have SAM without HCM? Although I do think this case has mild hypertrophy. Is SAM/DLVOTO only of relevance if causing increased velocity across LVOT with dagger shaped aortic profile?
Abnormal gallbladder
9 year old FN Border Terrier Diagnosed with diabetes mellitus one month ago, currently unstable with vomiting and diarrhoea Previous history of liver problem, diagnosed on bloods, resolved on supportive medication, no previous imaging.
Tricuspid Dysplasia
5 year MN Golden Retriever, diagnosed as a pup with tricuspid dysplasia Do not have history from vets where diagnosed and started on treatment On pimobendan, diltiazem and sildenafil Clinically well, exercises moderately without fatigue but is overweight 41kg
HCM arrhythmia syncopy DSH
– 10 year old DSH with a loud murmur and syncopal episodes – HCM with dilated left atrium and an arrhythmia – I have a few questions please? – I think I am seeing VPCs on ECG. Holter is not an option, do you think ventricular tachycardia is cause of collapse? Would you trial sotalol?…
Subaortic Stenosis
-1 year old female GSD with SAS. – How would you define the subaortic ] lesion? – Do you think the LV wall is more hyperechoic than normal? – When I look up the June Boon breed specific measurements, the left ventricular free wall is hypertrophied for female measurements but not for combined male/female, would…
Pleural effusion dog
Cytology has come back as reactive haemorrhagic effusion. I have aspirated the affected lung lobe which is consolidated with hyperechoic densities within, sent to lab. Could I have anyone’s opinion on the thoracic radiographs as now I am concerned about a lung lobe torsion. It is the right cranial lung lobe that is affected. Thank…
Pericardial effusion
– 10 year old Springer Spaniel presented for cough, panting, lethargy – G 5/6 left systolic murmur, tachycardic, panting – Massive cardiac silhouette and pulmonary pattern on rads – Severe mitral regurg, left atrial and ventricular dilation with deduced systolic function. Also tricuspid regurg, no right atrial enlargement. – Moderate volume pericardial effusion, no masses…
Pleural effusion
– 9 year old Golden Retriever referred for pleural effusion – History of cough 3 weeks prior that responded to doxycycline and prednisolone – Represented as emergency collapsed with large volume pleural effusion – Cardiac chamber size and function normal on echo. Mild/insignificant aortic insufficiency. – Abnormal tissue at right heart base, I think it…
Syncopal cat
– 10 year old Persian with multiple episodes of syncopy. – I have not spoken to the owner directly but seems to occur during sleep which is unusual, wakes up and seems as if retching and then faints. – HR 156 initially no murmur with intermittent periods of an arrhythmia. Following scan (and 0.2mg/kg butorphanol…