Chronic loose stool, one pound weight loss in the last year, 2/6 heart murmur. Fecal with giardia – all negative. Not on an any medication. Labwork WNL.
Case Study
Invasive Right Adrenal Mass in a 13-year-old, FS, DSH cat
Image Interpretation
The right adrenal was enlarged and irregular, measuring 0.77 cm at the cranial pole and 0.30 cm at the caudal pole, with a caval invasion of 0.85 cm. Minor areas of mineralization noted. The left adrenal gland was recognized as normal. Mild variable GI thickening and echogenic submucosal changes. Some loss of renal curvilinear patterns regarding the capsule and cortico-medullary junction; increased echogenicity, mineralization. Some hepatic parenchymal remodeling.
- Invasive right adrenal mass
- Mild GI thickening
- Age related renal changes with mineralization
- Age related hepatic changes
Comments
Surgical consult warranted. The surgeon should be prepared for invasion of the vena cava at approximately 1.0 cm. Assessment of sodium to potassium ratio warranted. If hypokalemia present, aldosterone levels indicated. Serial blood pressures, chest radiographs warranted. No overt evidence of metastatic disease. The right adrenal pathology may not be overtly responsible for the weight loss. Malassimilation/maldigestion panel should be considered.
Sampling
Right kidney to right adrenal with phrenic CVC invasion
right kidney to right adrenal mass
right kidney to right adrenal mass
right adrenal mass with CVC invasion
Right adrenal mass, CVC invasion with color
Patient Information
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- chronic loose stool
- Weight loss
Exam Finding
- Heart Murmur
Images
Clinical Signs
- chronic loose stool
- Weight loss