15-00151 Blake S Right auricular mass——-NO IMAGES——-

Case Study

15-00151 Blake S Right auricular mass——-NO IMAGES——-

A 7-year-old NM German shepherd cross was presented for evaluation of regenerative anemia (PCV 27%), hyponatremia, hypochloremia, acidosis, and mildly elevated AST activity.

A 7-year-old NM German shepherd cross was presented for evaluation of regenerative anemia (PCV 27%), hyponatremia, hypochloremia, acidosis, and mildly elevated AST activity.

Sonographic Differential Diagnosis

Splenic mass. Pleural effusion. Concurrent, polypoid right auricular mass without pericardial effusion. Given the thoracic pathology splenectomy is not recommended in this case. Treatment of quality of life is warranted.

Image Interpretation

The spleen presented a 6.1 cm, mixed, hyperechoic and mildly complex mass. The splenic mass appeared isolated to the cranial pole. The right atrium revealed a polypoid nodule at the right auricle. This is strongly suspicious for concurrent hemangiosarcoma given the splenic presentation. However, other possibilities include attached blood clot. This measured 1.26 x 0.93 cm. No pericardial effusion was noted.

Outcome

None

Clinical Differential Diagnosis

Abdominal hemorrhage – spleen/liver hemangiosarcoma/hemangioma, splenic hematoma, splenic rupture, rodenticide toxicity Immune-mediated hemolytic anemia GI blood loss – ulcer, neoplasia, foreign body

Sampling

None

Patient Information

Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Status : For Review

Clinical Signs

  • Anemia

Blood Chemistry

  • AST (SGOT), High

Clinical Signs

  • Anemia