We value your privacy

We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.

Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Cranial mediastinal mass

Sonopath Forum

Sonopath Forum

Cranial mediastinal mass

  • 8 year old MN Old English Sheepdog with hypercalcaemia and inappetance
  • Pleural effusion with echogenic cranial mediastinal mass and two smaller masses (LNs) cranially?
  • What is your impression of this mass, all lymph nodes with suspect lymphoma?
  • I have taken aspirates of the larger mass and the confluent smaller more cranial mass also

  • 8 year old MN Old English Sheepdog with hypercalcaemia and inappetance
  • Pleural effusion with echogenic cranial mediastinal mass and two smaller masses (LNs) cranially?
  • What is your impression of this mass, all lymph nodes with suspect lymphoma?
  • I have taken aspirates of the larger mass and the confluent smaller more cranial mass also

Comments

Peter
November 28, 2018 at 8:12 am -

Hi!
Most likely DDs are

Hi!

Most likely DDs are lymphoma and thymoma.

Unfortunately, FNAs are frequently inconclusive with these and core biopsies are then required.

A different approach is to administer Vincristine – if the mass decreases in size, it’s lymphoma, otherwise thymoma. Yet, I’m aware that this is not a scientifically correct approach 🙂

Thanks for sharing this case with the forum!

Peter

bhylands77
November 28, 2018 at 9:40 pm -

The mass appears to be cystic

The mass appears to be cystic in places . Not sure as you are scanning through it so fast. Scan slowly and try a linear probe. If it is cystic then it is a thymoma.

veteurope1
December 3, 2018 at 2:13 pm -

Thank you. The cytology came

Thank you. The cytology came back as lymphoma.

Subscribe