Sonopath Forum

Focal echogenic density at the basal interventricular septum

18 year old MN DSH with hx of anorexia and pawing at the face and dental disase (calculi and missing teeth), crf, and grade 3/6 heart murmur
Cat was referred to a specialty center for dental work-up but it was determined that the anorexia was not likely due to the dental disease.
Abdominal ultrasound shows a few focal segments of bowel with a thickened muscularis layer-r/o LSA, IBD, etc.

18 year old MN DSH with hx of anorexia and pawing at the face and dental disase (calculi and missing teeth), crf, and grade 3/6 heart murmur
Cat was referred to a specialty center for dental work-up but it was determined that the anorexia was not likely due to the dental disease.
Abdominal ultrasound shows a few focal segments of bowel with a thickened muscularis layer-r/o LSA, IBD, etc.
Echocardiogram shows concentric left ventricular hypertrophy, minor mitral valve regurgitant jet, and a focal echogenic density at the base of the interventricular septum near the aortic valve attachment. FS=48% and normal LA and LA/Ao.
No aortic valve insufficiency seen.
Just wondering what this echogenic density represents….fibrosis? aging change? Not endocarditis, right?

Comments

October 21, 2017 at 4:05 am -

I’m pretty sure this is a

I’m pretty sure this is a fibrous plaque as I’ve seen it before in very old cats and that septal impingement you will see in geriatric cats that live long enough to rotate their hearts and flatten the heart along the sternum increasing that lvot angle along the way. Cats that live long enough get away with some pretty funky stuff in their hearts:)

rlobetti

October 21, 2017 at 3:03 pm -

With the intestinal

With the intestinal thickening, is it feasible that the echogenic density in the myocardium could be lymphoma?

Electrocute

October 23, 2017 at 12:26 am -

Intereting thought. Is this

Intereting thought. Is this what cardiac lymphoma would look like?

rlobetti

October 23, 2017 at 11:12 am -

Two images from the human

Two images from the human literature with cardiac lymphoma.

October 24, 2017 at 10:15 am -

Here is a myocardial lymphoma

Here is a myocardial lymphoma in a cat that Peter Modler sent me a while ago… looks like bad HCM but more hypoechoic and very stiff and the ones that I have seen had other typical organ lsa lesions like kidney or GI… thought I had a loop but can’t find it and Ive seen a few like this over the years but very very rare.