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07-00087 William S Bilaterally enlarged adrenals——-NO IMAGES—

Case Study

07-00087 William S Bilaterally enlarged adrenals——-NO IMAGES—

A 7-year-old MN Welsh corgi with a history of lethargy, polydipsia, and polypnea was referred for an abdominal ultrasound. Recent blood work had revealed hypothyroidism and increased liver enzyme activity. Current therapy was soloxine.

A 7-year-old MN Welsh corgi with a history of lethargy, polydipsia, and polypnea was referred for an abdominal ultrasound. Recent blood work had revealed hypothyroidism and increased liver enzyme activity. Current therapy was soloxine.

Sonographic Differential Diagnosis

Bilaterally enlarged symmetrical adrenal glands are consistent with pituitary dependent hyperadrenocorticism. There is no evidence of an adrenal gland tumor in this patient.

Image Interpretation

The left adrenal gland measured 2.66 x 0.7 x 0.75cm and the right adrenal gland measured 2.59 x 0.73cm.

Outcome

It was recommended that the owner transfer the pet back to the primary veterinarian to follow up with the diagnostics and start treating the pet with lysodren or trilostane. (No further outcome was provided.)

Clinical Differential Diagnosis

Liver – hepatopathy (infectious, toxin, metabolic), neoplasia Hyperadrenocortism Pancreas – pancreatitis, neoplasia Thorax – pleural effusion, pulmonary disease Spinal cord disease – disc prolapse, neoplasia, traum

Sampling

None

Patient Information

Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound

Clinical Signs

  • Lethargy
  • Poor or unkempt coat
  • PU-PD
  • Tachypnea

Blood Chemistry

  • Elevated Liver Enzymes
  • Hypothyroidism

Clinical Signs

  • Lethargy
  • Poor or unkempt coat
  • PU-PD
  • Tachypnea

Special Testing

  • ACTH Stim Positive for Cushing's