- Gallop rhythm detected in an 11 yr old FS DSH with IBD, luxating patella and anxiety
- Echo measurements and Doppler studies are all normal
- There is an 8.3mm echogenic density adjacent to the aorta near the base.
- My primary differential diagnosis for this is fat but would like to know if there are any other differential diagnoses I should be considering (i.e. tumor, granuloma, congenital?) .
Thank you!
Comments
Would appreciate any
Would appreciate any feedback….please!
Looks like a normal heart
Looks like a normal heart wall thicknesses and volume are fine and fat density at the heart base. With exceptions of chemodectomy most pathology is hypoechoic or mixed hypoechoic. Sorry for the delay lots on vacation and who isnt on vacation has been overloaded on telemed cases because well… lots are on vacation:) So Telemed obviously gets precedent from a diagnostic standpoint and then the forum for learning purposes. Hope this helps.
Thank you for the feed back.
Thank you for the feed back. I completely understand. This was not an urgent case…just wanted to make sure it was not accidentally missed. As always, I greatly appreciate all of the advice and feedback I get on the forum as well as the telemedicine consultations. Very helpful!
Thanks again!
Hi!
Sorry for the
Hi!
Sorry for the delay!
Completely agree with Eric. Yet, I would not rule out lymphoma here. Can sometimes be quite hyperechoic. Sampling not possible here. But maybe check the abdomen…
I don’t thinks that this is of hemodynamic significance here but it is worth. monitoring
Regards,
Peter