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Pericardial effusion with tamponade and passive liver congestion and secondary ascites on a 11 year old FS Golden Retriever dog

Case Study

Pericardial effusion with tamponade and passive liver congestion and secondary ascites on a 11 year old FS Golden Retriever dog

An 11-year old SF Golden retriever was presented for evaluation of a modified transudate ascites.

An 11-year old SF Golden retriever was presented for evaluation of a modified transudate ascites.

DX

Pericardial effusion and tamponade with passive congestion liver pattern.

Sonographic Differential Diagnosis

Pericardial effusion and tamponade with passive congestion liver pattern.
Given the presentation this is either idiopathic pericardial effusion or occult hemangiosarcoma. Recommend pericardiocentesis and drainage as well as reevaluation of the abdomen and thorax.

Image Interpretation

Pericardial effusion was noted causing passive congestion pattern and secondary ascites. The heart was volume contracted with tamponade effect. No overt mass was noted.
The abdomen in this patient presented dilated hepatic veins, irregular contour and heterogenous parenchymal changes to the liver. Hepatic vein dilation measured approximately 2.0 cm. The gallbladder was unremarkable.

Clinical Differential Diagnosis

Pericardial effusion, neoplasia, portal hypertension, chronic liver disease

Sampling

None

Patient Information

Patient Name : Sadie C
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 15_00184

Clinical Signs

  • Ascites

Exam Finding

  • Ascites

Images

sadie_caulk_pc_effusion_passive_congestion_liver

Clinical Signs

  • Ascites