This 7 year old MN Bernese Mountain Dog presented with a palpable abdominal mass on PE. HCT 40%, elevated reticulocyte count (118).
This 7 year old MN Bernese Mountain Dog presented with a palpable abdominal mass on PE. HCT 40%, elevated reticulocyte count (118).
Thorax:
In the ventral aspect of the thorax a mild to moderate amount of soft tissue material is present. The margins of the lung lobes are rounded and retracted from the thoracic wall. Broad pleural fissure lines are noted. Border effacement of the ventral aspect of the cardiac silhouette is noted. The caudal compartment of the left cranial lung lobe presents a lobar alveolar infiltrate with maintained lung volume.
Abdomen:
A large soft tissue opaque ovoid mass lesion is seen occupying the ventral abdomen, to the right of the midline. It extends from the caudal aspect of the stomach caudally to the level of L5/L6. The stomach and cranial duodenum are displaced cranially, the small intestinal loops are displaced dorsally, caudally and to the left. The urinary bladder is displaced ventrally.
The pleural effusion and lobar alveolar infiltrate of the lung increase the odds of
multicentric neoplastic disease such as round cell neoplasia (histiocytic sarcoma or less
likely lymphoma)
Prior to surgery tapping of the pleural fluid and or FNA of the lung is essential.
