A 12-year-old NM Shih Tzu dog with a history of congestive heart failure was presented for evaluation. Serum biochemistry revealed a severely elevated ALP.
A 12-year-old NM Shih Tzu dog with a history of congestive heart failure was presented for evaluation. Serum biochemistry revealed a severely elevated ALP.
Left adrenal gland mass wrapping around the aorta and invading the vena cava. This is strongly suggestive of pheochromocytoma or carcinoma. Blood pressure measurements are recommended as well as palliative therapy. Unfortunately, this mass does not appear resectable.
A highly vascular, hypoechoic left adrenal gland mass can be seen invading the vena cava. The invasion extends into the vena cava by approximately 2-3 cm. The mass has an irregular contour. There are areas of mineralization within the mass. The mass appears to wrap around the aorta as well.
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Adrenal disease (hyperadrenocortism, neoplasia such as adenoma, adenocarcinoma, or pheochromocytoma), primary liver/gall bladder disease (neoplasia, cholecystitis, bile duct obstruction, mucocele).
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