This 9 year old FS Kerry Blue Terrier has profoundly elevated pancreatic tests but is asymptomatic; identify source of the pancreatic inflammation and R/O neoplasia.Pecision PSL 3000, amylase 4000.
This 9 year old FS Kerry Blue Terrier has profoundly elevated pancreatic tests but is asymptomatic; identify source of the pancreatic inflammation and R/O neoplasia.Pecision PSL 3000, amylase 4000.
CT of the thorax and abdomen-
thorax:
In the subcutaneous tissue on the right side lateral to T6 there is a regular contrastenhancingwell defined soft tissue attenuating ovoid nodule visible, measuring 7 mm in diameter.
Abdomen:
The right kidney presents a small incidental non-enhancing cortical cyst of 7 mm diameter. The pancreas presents normal in the plain, arterial and venous-phase studies, no pathological contrast enhancing nodule is detected. The surrounding omentum is homogeneous and without fat stranding. At the left laterodorsal aspect of the sacrum there is a well-defined ovoid mineral attenuating structure noted in the subcutaneous fat-tissue, measuring 8x4x13 mm. The jejunal lymph-nodes present prominent, the short-to-long-axis-ratio is maintained normal with <0.5, the contrast enhancement pattern is within normal limits
Unspecific mild reactive lymphadenopathy of the jejunal lymph nodes – of
questionable significance, but may be indicative of enteritis. A complete ultrasound examination of the abdomen is, if not performed yet,
recommended including FNA of the jejunal lymph node.
Fine needle aspiration is advised for further workup of the soft tissue nodule on the
right thoracic wall.
The mineral attenuating body dorsolateral to the sacrum is consistent with focal fatnecrosis
and secondary dystrophic mineralization. This is a clinically insignificant
finding
