The patient is a neutered male 6 year old ferret. The patient was presented for cough and palpable enlarged mesenteric root lymph nodes. White cell count was subnormal at 4.1 and hematocrit slightly subnormal at 38.
The patient is a neutered male 6 year old ferret. The patient was presented for cough and palpable enlarged mesenteric root lymph nodes. White cell count was subnormal at 4.1 and hematocrit slightly subnormal at 38.
Case Study
Splenomegaly with micronodularity in a 6 year old MN ferret
Sonographic Differential Diagnosis
This scan is strongly suggestive for splenic lymphoma with regional lymphadenopathy (epigastric, mesenteric root and hepatic), with possible hepatic involvement. Although ferrets often have a typical hypersplenism where the spleen is uniformly enlarged, in this case, the focal expansion of multiple lesions is more suggestive of neoplasia.
Image Interpretation
The spleen was enlarged, moth eaten and micronodular. Multiple, aggressive, expansive nodules were noted throughout the spleen, which is strongly suggestive for lymphoma or similar neoplasia. There was a moderate amount of hepatic remodeling with increased portal markings. A slight amount of free fluid was noted cranial to the liver. Cranial abdominal lymph nodes were enlarged and measured 1-1.5 cm in the epigastric region as well as the hepatic region. The mesenteric lymph nodes were also enlarged.
DX
Splenomegaly with micronodularity, abdominal lymphadenopathy, and suspected lymphoma
Outcome
None
Clinical Differential Diagnosis
Neoplasia, FIP-like syndrome, lymphoreactive disease, infectious.
Sampling
25-gauge to 27-gauge FNA of the spleen, lymph nodes and liver would be recommended for a definitive diagnosis but was not completed.
Video
Patient Information
Patient Name :
Snoopy M
Gender :
Male, Neutered
Species :
Exotic
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
08_00108
Clinical Signs
- Coughing
- Palpable Mass
Images
CBC
- Hematocrit, Low
- WBC, Low
Clinical Signs
- Coughing
- Palpable Mass