Sonopath Forum

Hepatic nodules and cysts in a Cairn Terrier

10 year old MN Cairn Terrier with acute onset back pain and cranial abdominal pain.
Initially responded to analgesic therapy for presumed IVDD but pain never fully resolved.
CBC is wnl, chem profile shows mildly elevated liver enzymes.

10 year old MN Cairn Terrier with acute onset back pain and cranial abdominal pain.
Initially responded to analgesic therapy for presumed IVDD but pain never fully resolved.
CBC is wnl, chem profile shows mildly elevated liver enzymes.
Adominal ultrasound shows a 1.0cm isoechoic splenic nodule with a hypoechoic rim suspicious for a target lesion and deviating the splenic capsule. There are also multiple hypoechoic liver lesions suspicious for nodule or cysts. The hepatic parenchyma appears coarse with increased echogenicity. No intra-abdominal inflammation was seen.
US guided fna’s were performed on the liver and spleen and cytology is pending.
I am just wondering, since this is a Cairn Terrier, what does their form of genetic liver cysts look like? Could this be it?
My primary differentials for the hepatic nodules and or cysts include neoplasia (carcinoma, sarcoma), infectious (fungal,mycobacterial), granuloma, necrosis, and genetic cysts of Cairn Terriers.
Could these lesions be related to the patient’s back pain (fungal, neoplastic) or are they a separate problem?
Any other thoughts?

Comments

March 21, 2015 at 8:21 pm -

Tough to say the liver

Tough to say the liver nodules look like nod hyperplasia with vac hepatopathy but those splenic nodules are abundant. Embolic, fungal, neoplasia, nodular hyperplasia… these just rely on the needle to take the guesswork out.

March 21, 2015 at 8:21 pm -

Tough to say the liver

Electrocute

March 22, 2015 at 1:40 am -

Those pics above were

Those pics above were actually all of the liver. I am adding the splenic nodule pic.