Sonopath Forum

Carcinomatosis?

Pit bull, 2 years old, F, non sterilized
1,2 albumin
HT 13% (21% yesterday)
Icteric
Pleural effusion: pure transudate 2g/dL, nucleated cells: 5900/ul
Thick-walled gallbladder (0.5)
Kidneys ok
Liver with regular edges and size ok, in doubt as to texture
Portal vein 57 cm/s and undilated caudal vena cava
- Pit bull, 2 years old, F, non sterilized
- 1,2 albumin
- HT 13% (21% yesterday)
- Icteric
- Pleural effusion: pure transudate 2g/dL, nucleated cells: 5900/ul
- Thick-walled gallbladder (0.5)
- Kidneys ok
- Liver with regular edges and size ok, in doubt as to texture
- Portal vein 57 cm/s and undilated caudal vena cava
- This structure characterized in the videos is cranioventral to the bladder, with a vein passing in the middle and next to lymph nodes. Could it be carcinomatosis?
Thanks!
Adams.
Comments

EL
December 7, 2019 at 7:24 pm -

Images are pretty dark but

Images are pretty dark but yes mesenteric LN are there and should fna. The low albumin is likely at least part of the reason for ascites from low oncotic pressure but the icterus bothers me assuming no hemolysis. Likely a parenchymal issue as the Gb is normal.

I would fna LN, cytospin the fluid, and fna liver and tx for PLE until you have solid cytology.

Lytmphomatosis can do this butt need more dx.

gadams
December 14, 2019 at 10:08 pm -

Thanks EL!

Thanks EL!

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