08-00137 Dina N Splenic mass—NEED SL——-

Case Study

08-00137 Dina N Splenic mass—NEED SL——-

A 7-year-old SF Labradoodle was presented for evaluation of lethargy, abdominal distension, and elevated respiratory and heart rate. Abnormalities on CBC and serum biochemistry were mild leukocytosis, hypoalbuminemia, and elevated ALP activity (181).

 

Sonographic Differential Diagnosis

Splenic mass. FNAs of the splenic mass were performed without complication.
Deep left medial liver nodule. Hyperplasia versus metastatic lesion.
FNAs of the liver nodule were performed without complication.

Image Interpretation

The spleen revealed a mixed, hyperechoic mass that measured 6.3 x 5.9 cm at the cranial pole. Coalesced free fluid was noted associated with the splenic mass. Minor reactive surrounding fat was noted. A hyperechoic, right medial liver nodule measured 1.24 x 1.17 cm. This is most consistent with lipogranuloma. Left medial liver nodule was mildly echogenic and measured 1.66 x 1.61 cm. Neither nodule revealed disruption of architecture. The left medial liver nodule could represent a metastatic event. Mild, uniform hepatic swelling was noted. No significant hepatic lymphadenopathy was noted.

Outcome

None

Clinical Differential Diagnosis

Cardiac – cardiomyopathy, pericardial effusion
Neoplasia – spleen, liver
Peritonitis

Sampling

??

Patient Information

Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound

Clinical Signs

  • Abdominal Distension
  • Lethargy
  • Tachypnea

Exam Finding

  • Abdominal Distension
  • Tachycardia
  • Tachypnea

Images

dina_nichols_splenic_mass_liver_nodule_fnadina_nichols_splenic_mass_liver_nodule_1

Blood Chemistry

  • Albumin, Low

CBC

  • WBC, High

Clinical Signs

  • Abdominal Distension
  • Lethargy
  • Tachypnea
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