A 12-year-old MN Labrador Retriever mix was presented with chronic diarrhea +/- syncopal episodes.Low grade anemia was found on CBC with unremarkable blood chemistry findings.
A 12-year-old MN Labrador Retriever mix was presented with chronic diarrhea +/- syncopal episodes.Low grade anemia was found on CBC with unremarkable blood chemistry findings.
3-view chest radiographs were recommended along with an echocardiogram. Given the syncopal episodes, serial blood pressures to assess for systemic hypertension were recommended. FNA of both the spleen and liver were performed without complication. Cytology interpretation: High grade lymphoma in liver and spleen.
Within 6 hours of the patient presenting for syncope and sonogram the definitive diagnosis was made to enable potential CHOP, Wisconsin or similar protocols to be implemented before further lymphoma spread could occur. The patient is currently (As of 8/27/16) undergoing chemotherapy and doing well so far.
For more information about SonoPath’s telecytology service packages click here: TELECYTOLOGY
FNA was sampled from both the spleen and liver.
Spleen revealed multiple masses, the largest of which measured 4.43 and 2.58 cm with other hypoechoic nodules. The masses were moderately complex ,most consistent with sarcoma or similar. Other splenic nodules were noted measuring 2.8 cm. Splenic lymph node was enlarged at 1.6 cm. Liver in this patient was mildly enlarged, slightly coarse. Hepatic lymph nodes were slightly enlarged at 2 x 1 cm maintaining length to width ratios. Gallbladder and common bile duct were normal. Heart: Rapid view of the heart revealed no right auricular masses.
