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Adrenal mass with adrenalectomy in a 12 year old FS DSH cat

Case Study

Case Study

Adrenal mass with adrenalectomy in a 12 year old FS DSH cat

A 12-year-old FS DSH was presented for weight loss and vomiting. Abnormalities on CBC and serum biochemistry were anemia and hypercalcemia.

 

Image Interpretation

 

 A 1.5 cm hypoechoic mass was noted in this patient in the region of the right adrenal gland; the lesion appears nonvascular. This is most consistent with left adrenal; however, with the images presented it is difficult to distinguish this being from left to right adrenal gland. However, if hypokalemia is present, then Conn’s syndrome is likely. 

Left adrenal measured 0.5 cm. 

DX

Non-invasive adrenal mass

Outcome

Exploratory surgery is recommended. If hypokalemia is present, then Conn’s syndrome is likely. No evidence of metastatic disease. Blood pressure measurements and sodium potassium as well as aldosterone levels are recommended in the meantime.

Comments

adrenalectomy performed

Clinical Differential Diagnosis

Neoplasia (lymphoma, parathyroid), granulomatous disease, idiopathic, renal disease

Video

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Patient Information

Patient Name : Sheena Leadman/Bayshore COM
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 07_00188

Clinical Signs

  • Vomiting
  • Weight loss

Images

sheena1img_20160216_112248367

Blood Chemistry

  • Calcium, High

CBC

  • RBC, Low

Clinical Signs

  • Vomiting
  • Weight loss