An 8-year-old SF Border terrier was presented for evaluation of thinning hair coat, PU/PD, and distended abdomen. Laboratory abnormalities included an abnormal dexamethasone suppression test, elevated BUN/Creatinine ratio, and hyperphosphatemia.
An 8-year-old SF Border terrier was presented for evaluation of thinning hair coat, PU/PD, and distended abdomen. Laboratory abnormalities included an abnormal dexamethasone suppression test, elevated BUN/Creatinine ratio, and hyperphosphatemia.
Case Study
Age-related adrenal changes in an 8 year old FS Border Terrier
Sonographic Differential Diagnosis
Age related adrenal changes. No overt suspicion of neoplasia was noted.
Image Interpretation
The adrenal glands appeared slightly prominent, mildly heterogeneous and slightly nodular. No evidence of capsular expansion or invasion in the phrenic veins were noted. This is considered likely an age related change with the minimal potential of emerging neoplastic event. The adrenal glands measured 2 x 0.7 cm on the left and 2.3 x 0.8 cm on the right.
DX
Age related adrenal changes
Outcome
The patient was referred to University of Pennsylvania. The patient had endogenous ACTH performed and was started on Mitotane, Denosyl and Prednisone.
Clinical Differential Diagnosis
Pituitary-depended hyperadrenocortism, functional adrenal neoplasia
Sampling
None
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Patient Information
Patient Name :
Nellie M
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
07_00089
Clinical Signs
- Abdominal Distension
- Poor or unkempt coat
- PU-PD
Images
Blood Chemistry
- BUN/Creatinine Ratio, High
- Phosphorus, High
Clinical Signs
- Abdominal Distension
- Poor or unkempt coat
- PU-PD