Sarge is my colleague´s macaw. We suspect he is a 24 year old approx male intact macaw. Fed on seed only diet. Presents with loss of apetite, weakness, weight loss (0.9kg only). I would like to share clips of this impressive messy-mass.
Heart: WNL in my limited experience.
Caelomic effusion.
Liver: irregular capsular contour with some nodular changes and areas of dys’homomgeneous parenchyma-disrupted architecture. Main portal vascularity still intact. DDx: nodular hyperplasia versus metastatic disease.
Sarge is my colleague´s macaw. We suspect he is a 24 year old approx male intact macaw. Fed on seed only diet. Presents with loss of apetite, weakness, weight loss (0.9kg only). I would like to share clips of this impressive messy-mass.
Heart: WNL in my limited experience.
Caelomic effusion.
Liver: irregular capsular contour with some nodular changes and areas of dys’homomgeneous parenchyma-disrupted architecture. Main portal vascularity still intact. DDx: nodular hyperplasia versus metastatic disease.
Rest:well…I´m not too sure but I would say there are some normal looking intestinal loops and some thickened in layering as well as a cystic lesion. Then there is this massive (4-5cm approx) neovascularized complex mass with cavitary lesions as well as at least 2 large caudal cysts. I think there may be a thickened and cystic-nodular spleen but Im not sure. Ventriculus appears to have a focal thickening of the wall, otherwise normalish. Kidneys not seen but that I think is normal. The mass has a slight bilobed appearance and I consider may be testicular (or reproductive…) or mesenteric in origin. We will biopsy if we agree this is not liver. I do not think it is resectable…but not sure. Any ideas?
Thank you fo
r any input
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sorry, my liver DDx are more,
sorry, my liver DDx are more, of course…like granulomatous and abscess and all others what i meant was bening versus malignant. Apologies
Looks like liver cirrhosis or
Looks like liver cirrhosis or mass (hepatic carcinoma) with secondary portal hypertension or paraneoplastic effusion. Cystic portion is secondary to the pathology likely. 27 or 25g fna of that mass would be the way to go and cytospin the effusion and slide out the sedminet to check neoplastic cells like carcinomatosis or similar.
Thank you Eric. Im afraid
Thank you Eric. Im afraid they will not proceed with FNA but with laparoscopic investigation and biopsy. I must say I have some clips of more cranial liver and heart views which seems like not linked to the mass but since the patient will go to surgery I will eventually find out a bit more and I will keep you posted. Thank you so much for your input. I think the effusion was cytospun and seen for cytology by ourselves, but not too sure. I will definitely update once we know more about this case.