A 12-year-old FS Golden Retriever was presented for anorexia and weight loss. On physical examination pyrexia, weak hindquarters, and multiple growths were present. CBC and T4 were within normal limits. Abnormalities on serum biochemistry were azotemia, elevated liver enzymes, and hypercholesterolemia.
A 12-year-old FS Golden Retriever was presented for anorexia and weight loss. On physical examination pyrexia, weak hindquarters, and multiple growths were present. CBC and T4 were within normal limits. Abnormalities on serum biochemistry were azotemia, elevated liver enzymes, and hypercholesterolemia.
Case Study
03_00197 Sydney M Liver mass
DX
Resectable left medial liver mass. Chronic interstitial/potential pyelonephritis pattern.
Sonographic Differential Diagnosis
Resectable left medial liver mass.
Image Interpretation
The liver presented a 10+ cm mass deriving from the left medial lobe of a bridge that was approximately 2.5 cm with normal appearing liver tissue. The remainder of the liver in the deep left and right lobe appeared largely normal with age related changes. A mild amount of excessive gallbladder debris was noted. This mass appeared resectable. This mass did impinge upon the gastrointestinal tract and deviated caudally. However, the gastrointestinal tract appeared largely normal.
Outcome
Three weeks later the patient was not eating the K/D diet and the owner was considering options.
Comments
The patient was lost to follow up.
Clinical Differential Diagnosis
Liver – neoplasia, infection (bacterial/viral), toxic, chronic-active hepatitis, abscessation, vacuolar hepatopathy, granulomatous hepatitis. Renal – chronic kidney disease, neoplasia, pyelonephritis, renoliths.
Sampling
None.
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Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Weight loss
Exam Finding
- Fever
- Palpable mass
Images
Blood Chemistry
- BUN high
- Cholesterol, High
- Creatinine, High
Clinical Signs
- Anorexia
- Weight loss