A 14-year-old MN mixed breed dog with history of a was presented with historical severe pancreatitis several years ago which necessitated surgery. Patient also has a colonic mass that is not visible on ultrasound. Today owner reports that the patient is lethargic. Prior ultrasound in January 2011 and June 2011 showed a left adrenal gland that measured 3 x 1.4cm with subtle loss of shape.
A 14-year-old MN mixed breed dog with history of a was presented with historical severe pancreatitis several years ago which necessitated surgery. Patient also has a colonic mass that is not visible on ultrasound. Today owner reports that the patient is lethargic. Prior ultrasound in January 2011 and June 2011 showed a left adrenal gland that measured 3 x 1.4cm with subtle loss of shape.
Case Study
07-00111 Scooby Doo F Unilateral adrenal enlargement—-NEEDS CDX——
Sonographic Differential Diagnosis
Left adrenal mass. Although this measures approximately the same size as previously, today’s images were compared to the prior images when a mild loss of shape was noted. Today’s scan shows an oval to round left adrenal with no normal shape.
Image Interpretation
The left adrenal was enlarged and measured 3.06 x 1.2cm. There was loss of corticomedullary detail and increased blood flow. The right adrenal gland showed normal size and structure.
DX
Unilateral adrenal enlargement
Outcome
Blood pressure measurements were advised. The patient was also recommended for an exploratory surgery with possible left adrenalectomy if warranted.
Comments
No images of right adrenal are available on this patient.
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Clinical Signs
- Lethargy
Images
Clinical Signs
- Lethargy