-5 year old male neutered GSHP, 20 Kg
-PU/PD at least a year
– elevated alk phos (600s) isosthenuric
– recently developed hematuria
– cytology from traumatic cath. “transitional cell hyperplasia” (“the cells do not display significant cytologic criteria for malignancy, however given the presence of a mass, a well differentiated TCC cannot be completely excluded”).
– opinions on mass in bladder?
-5 year old male neutered GSHP, 20 Kg
-PU/PD at least a year
– elevated alk phos (600s) isosthenuric
– recently developed hematuria
– cytology from traumatic cath. “transitional cell hyperplasia” (“the cells do not display significant cytologic criteria for malignancy, however given the presence of a mass, a well differentiated TCC cannot be completely excluded”).
– opinions on mass in bladder?
– the adnenals were difficult to visualize. I believe the attached images show two different adrenals, and at least one of them is enlarged.
Comments
The enlarged left adrenal
The enlarged left adrenal looks like its invading into the phrenic vein or is thrombosing there. carcinoma or pheo possible check BP and power doppler on that phrenic vein.
The bladder mass is classic mineralizing TCC I would get a reread (if they described it out to that extent the sampel was solid) or consider our SonoPath telecytology service where you can discuss the US report findings with the cyto findings… 6 eyes are better than 2:): info@sonopath.com for info on telecytology.