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Flattened adrenals in a FS West Highland Terrier

Case Study

Case Study

Flattened adrenals in a FS West Highland Terrier

A spayed female West Highland Terrier dog of unknown age was presented for evaluation of weight loss and loose stools with a history of eating foreign objects. Approximately 6 months prior a gastric foreign body (plush log) had been removed via endoscopy. Recently, the owner’s hearing aid is missing. The only significant abnormality on serum biochemistry is low cholesterol.

A spayed female West Highland Terrier dog of unknown age was presented for evaluation of weight loss and loose stools with a history of eating foreign objects. Approximately 6 months prior a gastric foreign body (plush log) had been removed via endoscopy. Recently, the owner’s hearing aid is missing. The only significant abnormality on serum biochemistry is low cholesterol.

Sonographic Differential Diagnosis

If a baseline cortisol level is less than 2, a full ACTH stimulation would be recommended given the subnormal width of the adrenal glands, flattened contour and the breed’s predisposition to Addison’s disease.

Image Interpretation

The left adrenal gland measured 1.45 x 0.4 cm and was slightly subnormal in width. Screening for Addison’s disease would be recommended. The right adrenal gland measured 1.68 x 0.39 cm (subnormal in width) and had a slightly flattened contour.

DX

Flattened adrenals

Outcome

The ACTH was normal.

Comments

No video is available on this patient.

Clinical Differential Diagnosis

Gastrointestinal disease (foreign body, stricture, perforation with focal peritonitis, IBD), pancreatic disease (exocrine pancreatitic insufficiency)

Sampling

None

Patient Information

Patient Name : Tallulah C
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 07_00081

Clinical Signs

  • Concern for FB Ingestion
  • Soft stool
  • Weight loss

History

  • Foreign Body

Images

Ladr_07012012041002Radr_07012012041014

Blood Chemistry

  • Cholesterol, Low

Clinical Signs

  • Concern for FB Ingestion
  • Soft stool
  • Weight loss