Sonopath Forum

Bladder lesion

12 year old outdoor FN Cocker Spaniel with haematuria and pollakiuria, improved since started antibiotics
Do you think this bladder thickening of the ventral wall is inflammatory or TCC? it seems quite focal with loss of layering and mineralised?
I will rescan in 4 weeks after abs, nsaids
Also very nodular liver, do you think this is significant/sinister?

12 year old outdoor FN Cocker Spaniel with haematuria and pollakiuria, improved since started antibiotics
Do you think this bladder thickening of the ventral wall is inflammatory or TCC? it seems quite focal with loss of layering and mineralised?
I will rescan in 4 weeks after abs, nsaids
Also very nodular liver, do you think this is significant/sinister?

Comments

January 30, 2019 at 9:59 am -

The ventral ub wall loses

The ventral ub wall loses layers and appears transmural but resectable with ventral wall resection. 50/50 tcc vs granulomatous lesion but needs to come out as its focal and transmural. Other potential is wall lesion from cystocentesis trauma…intramural hematoma as this is the site for cysto. Side note the urethra looks dilated suggestive for poor tone.

veteurope1

January 31, 2019 at 3:13 pm -

Thanks EL. No cysto done but

Thanks EL. No cysto done but I will keep posted with follow up.

What do you make of the liver?

rlobetti

February 2, 2019 at 4:46 am -

Nodular hepatopathy – nodular

Nodular hepatopathy – nodular regeneration, granuomatous disease, neoplasia. FNA cytology may help but often need wedge/Tru-Cut biopsy for a final diagnosis.