An 11-year-old spayed female Rhodesian Ridgeback dog was presented for a history of lethargy. Abnormalities on CBC and blood chemistry included a low RDW and mildly elevated ALT activity. Radiographs showed mild cardiomegaly and multi-focal alveolar lung pattern.
An 11-year-old spayed female Rhodesian Ridgeback dog was presented for a history of lethargy. Abnormalities on CBC and blood chemistry included a low RDW and mildly elevated ALT activity. Radiographs showed mild cardiomegaly and multi-focal alveolar lung pattern.
Case Study
Heart base mass in an 11 year old FS Rhodesian Ridgeback
Sonographic Differential Diagnosis
Heart base mass. Probable hemangiosarcoma, secondary hemopericardium likely.
Image Interpretation
The cardiac presentation in this patient presented a moderate amount of pericardial effusion with tamponade effect. Subnormal volumes were noted. The contractility was adequate, yet somewhat irregular. A 5.5cm mixed, hyperechoic mass was noted at the heart base in the region of the right auricle. This is suspicious for hemangiosarcoma given the position and the breed.
DX
Heart base mass, secondary hemopericardium
Outcome
The patient was humanely euthanized based upon a poor prognosis.
Clinical Differential Diagnosis
Pericardial effusion: idiopathic, neoplasia, pericarditis; Cardiomyopathy: dilated, hypertrophic.
Sampling
Pericardiocentesis revealed hemopericardium. No further testing performed.
Video
Patient Information
Patient Name :
Rose G
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
15_00040
Clinical Signs
- Lethargy
Images
Blood Chemistry
- ALT (SGPT), High
Clinical Signs
- Lethargy