Mineralizing Lung Mass, likely obstructing the vena cava in a 16 year old MN DSH

Case Study

Mineralizing Lung Mass, likely obstructing the vena cava in a 16 year old MN DSH

A 16 year old MN DSH cat was presented due to weightloss.

A 16 year old MN DSH cat was presented due to weightloss.

DX

Right caudal, non resectable, mineralizing lung mass. The mass is likely obstructing the vena cava.

Image Interpretation

The thorax in this patient revealed a lung mass with pleural effusion. The mass measured approximately 4.0 x 3.0 cm. Multi focal mineralization was noted within the lung mass, which would suggest lung base carcinoma. The lung mass appeared to be obstructing the vena cava causing a passive congestion liver pattern. The heart was volume contracted and displaced by the lung mass.

Dilated hepatic veins were noted. This is likely the cause of the free fluid in the abdomen.

Transdiaphragmatic view revealed pleural effusion. 

Outcome

Prognosis is poor. Pleurocentesis or direct FNA of the lung mass is recommended along with oncology evaluation.

Sampling

Pleurocentesis or direct FNA of the lung mass is recommended.

Patient Information

Patient Name : Jack Marcus
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Code : 10_00095

Clinical Signs

  • Pleural effusion
  • Weight loss

Exam Finding

  • Ascites
  • Pleural Effusion

Images

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Clinical Signs

  • Pleural effusion
  • Weight loss
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