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- Primary vet reports dysphagia. Owner reports dog swallows ok but food comes back up soon after swallowing.
- PE shows severe muscle wasting.
- Abnormal lab findings include: increased CK=1762 U/L, AST=110 U/L, ALT=125 U/L, low folate=4.3mcg/L.
- The owner has the dog on multiple holistic supplements that change frequently. The patient is also on a raw food diet.
- Cervical ultrasound shows normal aretynoid cartilage, normal cervical esophagus, and small thyroid.
- The soft tissue overlying the ventral trachea, superficial to the thyroid lobes appears hypoechoic and heterogeneous. It extends more to the left side. I am wondering if this is abnormal musculature (sternothyroideus or sternohyoideus), abnormal lymph node tissue, abnormal mandibular salivary gland, or neoplasia.
Comments
Lots of inflammation around
Lots of inflammation around those superficial mixed hypoechoic structures either salivary glands or Lns not sure as the tissue architecture is disrupted. Needs a 25g fna cyto and culture. Not surgical as its multifocal.
Thank you EL. Will keep you
Thank you EL. Will keep you posted :).
Jumping in a bit late but
Jumping in a bit late but also need to consider esophageal perforation with associated cellulitis/abscessation.