These are images from a 12 yr mn Border collie mix that has a lung mass and u/s was requested to look for a primary tumor. blood chemistry normal and concentrated urine sg. Has a history of PD/PU. Both adrenals look big but the right one looks mis shapen. I was wondering about a pheo.
These are images from a 12 yr mn Border collie mix that has a lung mass and u/s was requested to look for a primary tumor. blood chemistry normal and concentrated urine sg. Has a history of PD/PU. Both adrenals look big but the right one looks mis shapen. I was wondering about a pheo.
Comments
To me this adrenal looks like
To me this adrenal looks like a big peanut that is seen with the L adrenal. Its not measured but it appears to be about .85-.9 cm at the caudal pole. This would be “plump”. It also appears that the capsule is intact and their may be an adenoma filling up the caudal pole. I only saw 2 cine loops.
This is the world according to “Garp”. Ill wait for others to jump in- but I had to commit myself.
To me this adrenal looks like
To me this adrenal looks like a big peanut that is seen with the L adrenal. Its not measured but it appears to be about .85-.9 cm at the caudal pole. This would be “plump”. It also appears that the capsule is intact and their may be an adenoma filling up the caudal pole. I only saw 2 cine loops.
This is the world according to “Garp”. Ill wait for others to jump in- but I had to commit myself.
Then left is uniformly
Then left is uniformly enlarged but the right is nodular and expansive with hyperechoic periserosal fat. I would remove the right just based on sonographic appearance and hasn’t invaded the cvc yet. Serial BP warranted. Pheo, adenoca or adenoma are primary diffs on the right. Hyperplasia, on left likely. I’m nor convince the right adrenal has anything to do wuht the lung mass though. May be 2 separate issues. FNA the lung mass if accessible and see if related to the adrenal.
Then left is uniformly
Then left is uniformly enlarged but the right is nodular and expansive with hyperechoic periserosal fat. I would remove the right just based on sonographic appearance and hasn’t invaded the cvc yet. Serial BP warranted. Pheo, adenoca or adenoma are primary diffs on the right. Hyperplasia, on left likely. I’m nor convince the right adrenal has anything to do wuht the lung mass though. May be 2 separate issues. FNA the lung mass if accessible and see if related to the adrenal.