An 11-year-old SF Shih Tzu was presented for evaluation of a single episode of vomiting and anorexia for 3-4 days. Abnormalities on CBC and serum biochemistry were hemoconcentration, elevated ALT (136) and ALP (1197) activity. Urine SG was 1.035.
Case Study
07_00176 Jamie S Unilateral adrenal mass
Sonographic Differential Diagnosis
Left adrenal gland mass, non invasive, appears resectable. Differentials include adenoma, pheochromocytoma or adenocarcinoma, which is likely non functional given that isosthenuria is not present. The left adrenal mass appeared moderately vascular. Therefore, pheochromocytoma or adenocarcinoma are significant potentials.
Image Interpretation
The left adrenal gland was enlarged, nodular and irregular measuring 1.42 cm. The left adrenal gland mass derives from the caudal pole. The left adrenal mass appeared moderately vascular. The right adrenal gland was uniform and measured 0.61 cm in width.
DX
Unilateral adrenal mass
Outcome
None
Clinical Differential Diagnosis
Liver – acute hepatitis (viral, bacterial, fungal, toxins), neoplasia, chronic-active hepatitis, cirrhosis
Gall bladder – mucocele, cholecystitis
Adrenal – neoplasia, hyperplasia
Sampling
None
UA Specific Gravity Range
1.035
Video
Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Vomiting
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
CBC
- Hematocrit, High
Clinical Signs
- Anorexia
- Vomiting