– 6 1/2 yr old, MN Newfoundland presented for anorexia and vomiting over a few days

– bloodwork and survey rads unremarkable

– marked weight loss noted even at 120lbs (scanned this big boy on the floor)

– u/s showed a focal region of hypoechoic gastric wall thickening with loss of normal wall layering and no stomach contractions; some pockets of gas shadowing in the wall which may indicate ulceration

– gastric LN’s enlarged, round to irregular in shape and hypoehoic; splenic and possible renal LN’s showing similar appearance

– 6 1/2 yr old, MN Newfoundland presented for anorexia and vomiting over a few days

– bloodwork and survey rads unremarkable

– marked weight loss noted even at 120lbs (scanned this big boy on the floor)

– u/s showed a focal region of hypoechoic gastric wall thickening with loss of normal wall layering and no stomach contractions; some pockets of gas shadowing in the wall which may indicate ulceration

– gastric LN’s enlarged, round to irregular in shape and hypoehoic; splenic and possible renal LN’s showing similar appearance

– other organs appeared normal – no effusion

I am always hesitatant to make the call of gastric neoplasia with a thickened stomach wall as I know severe gastritis is a differential. This owner is going to go for a GI scope and biopsy. FNA was offered. ……But to me this looks like neoplasia – lymphoma and carcinoma being two top differentials. Thoughts?