A 13-year-old FS Lhasa Apso dog with a history of lethargy, coughing, and pancreatitis was presented for increase in vomiting and diarrhea that had been present for the past 2-3 days. Abnormalities on CBC and serum biochemistry were thrombocytosis, severely elevated ALP (2000) and severely elevated GGT (781), and elevated ALT (235) activity.
A 13-year-old FS Lhasa Apso dog with a history of lethargy, coughing, and pancreatitis was presented for increase in vomiting and diarrhea that had been present for the past 2-3 days. Abnormalities on CBC and serum biochemistry were thrombocytosis, severely elevated ALP (2000) and severely elevated GGT (781), and elevated ALT (235) activity.
Case Study
Liver Mass in a 13 year old FS Lhasa Apso dog
Sonographic Differential Diagnosis
Resectable left lateral liver mass. Suspect hepatocellular carcinoma or other carcinoma. This appears localized.
Image Interpretation
The liver in this patient was largely normal except for an 8 cm mixed, hypoechoic and hyperechoic mass with capsular expansion and anechoic cystic or abscess presentation. This is connected to the left lateral lobe and appears to be resectable
DX
Liver mass
Outcome
No further information available
Comments
Three view chest radiographs and left lobectomy would be recommended.
Clinical Differential Diagnosis
Liver pathology – neoplasia, Cushing’s disease, drug-induced, infectious (viral/bacterial/fungal), cirrhosis; Gall bladder pathology- cholecystitis, neoplasia, obstruction, mucocele Pancreatic pathology – neoplasia, pancreatitis
Sampling
None
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Patient Information
Patient Name :
Bear P
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
03_00279
Clinical Signs
- Coughing
- Diarrhea
- Lethargy
- Vomiting
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
- GGT High
CBC
- Platelet Count, High
Clinical Signs
- Coughing
- Diarrhea
- Lethargy
- Vomiting