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
Hi Julie! Do you happen to
Hi Julie! Do you happen to have any Doppler over the area of the mass?
I do. And it didn’t show any
I do. And it didn’t show any blood flow.
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.
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!