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Bilateral masses near adrenals and lumbar aorta

Sonopath Forum

Sonopath Forum

Bilateral masses near adrenals and lumbar aorta

12 yo FS 80# lab. Urinary incontinence for years, worse in the last few months, now PUPD, severe weight loss.

ALP 296, ALT 197

Diluted urine SG 10.09

U/S:

Normal adrenal glands (Left cr. 5.1mm/6.0mm, Right 6.5mm/5.2mm)

2 large anechoic septated nodules present, caudal to each adrenal gland, not attached to the glands, 2cm diameter, close to the aorta.

Are these metastatic lumbar aortic lymph nodes? A retroperitoneal hemangiosarcoma? Or weird bilateral adrenal tumors?

Rec spinal rads, chest rads, BP check, and referral for CT.

Thanks!

Julie

Comments

KV CVT SonoPath
January 16, 2021 at 7:41 pm -

Hi Julie! Do you happen to

Hi Julie! Do you happen to have any Doppler over the area of the mass?

sonopaws
January 16, 2021 at 8:24 pm -

I do. And it didn’t show any

I do. And it didn’t show any blood flow. 

EL
January 16, 2021 at 8:46 pm -

Looks like a cystic LN to me.

Looks like a cystic LN to me. You see this with chronic inflammation/uti or cholhep if hepatic LN or mes root LNs in IBD cases. if you drain them you get lymph type fluid and sometimes culture a big. usually not neoplastic. The chronic inflammation just necroses the LN tissue and leaves a bacg of fluid. With the urinary issue likely history of uti/chronic pyelenophritis im betting that may have been treated and this is the sequelae.

sonopaws
January 16, 2021 at 8:52 pm -

Thanks Eric. cystic LN would

Thanks Eric.
cystic LN would be great for the dog! But then we still don’t know what is causing the PuPD and weight loss… I need to keep looking!

 

 

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