Hello,

This is a 8 years old Boxer M/N that presented for chronic vomiting.Normnal PE.  Bloodwork revealed mild increase in ALKP and ALT as well as elevated CpL.

I did find regional pancreatitis in the left limb only which I know is unusual for a dog. I also found enlarged LN : gastric, splenic aortic. Normal right limb pancreas and no enlargment in the mesenteric LN. Stomach wall was subjectivelly thick measuring 0.6-0.9 cm. Rest of the scan was normal.

Hello,

This is a 8 years old Boxer M/N that presented for chronic vomiting.Normnal PE.  Bloodwork revealed mild increase in ALKP and ALT as well as elevated CpL.

I did find regional pancreatitis in the left limb only which I know is unusual for a dog. I also found enlarged LN : gastric, splenic aortic. Normal right limb pancreas and no enlargment in the mesenteric LN. Stomach wall was subjectivelly thick measuring 0.6-0.9 cm. Rest of the scan was normal.

My differentials are : Emerging Multicentric Lymphoma vs Pancreatitis/ Gastritis with regional lymphadenopathy.

What is your opinion on left limb pancreatitis in dogs with enlarged/ reactive LNs?

Thank you.

Happy Easter !