i’m just trying this out. I’d like to see if I can post a case.
This is a 10 year old DSH presented for vomiting and anorexia. CBC, Biochem panel normal. No PLI done. UA not done by RDVM.
Ultrasound revealed multiple hypoechoic nodules on pancreas.
Only other abnormality was a loss of homogeneity of the fulsiform ligament. There are mutiple hypoechoic areas, one appears to be a possible mass. I have not seen this before. One differential was liposarcoma. Biopsy declined.
Just wondering what folks on here think about this fat pad. Has anyone seen this before?
Karen
Comments
Hi Karen I have seen this
Hi Karen I have seen this before and I believe it has to do with remodeling after an episode of pancreattiits/steatitis as this is often seen in triad cats in my experience. you can always recheck it in a month and see if it is growing and if so, put a needle in it.
Anyone else?
Eric Lindquist DMV (Italy) DABVP
Cert./Pres. IVUSS
Director SE NJ Mobile Associates
Founder/CEO: SonoPath.com
Hi Karen I have seen this
Hi Karen I have seen this before and I believe it has to do with remodeling after an episode of pancreattiits/steatitis as this is often seen in triad cats in my experience. you can always recheck it in a month and see if it is growing and if so, put a needle in it.
Anyone else?
Eric Lindquist DMV (Italy) DABVP
Cert./Pres. IVUSS
Director SE NJ Mobile Associates
Founder/CEO: SonoPath.com
Thanks Eric.
Unfortunately
Thanks Eric.
Unfortunately I can’t recheck it in a month. The RDVM just told me this morning that the cat was euthanized d/t ongoing anorexia. No autopsy.
I was wondering how helpful a FNA would be. I was thinking I’d just get fat, but if there is a chance I’ll see inflammatory cells, I’ll get an FNA next time I see it. This case the owner declined sampling.
Karen
Thanks Eric.
Unfortunately
Thanks Eric.
Unfortunately I can’t recheck it in a month. The RDVM just told me this morning that the cat was euthanized d/t ongoing anorexia. No autopsy.
I was wondering how helpful a FNA would be. I was thinking I’d just get fat, but if there is a chance I’ll see inflammatory cells, I’ll get an FNA next time I see it. This case the owner declined sampling.
Karen
Fna is always a good idea and
Fna is always a good idea and inflammatory cells with adipose is likely and maybe a chance at a zebra like liposarcoma. Its good to sample in a distributed fashion so you get a variety of cells for the cytologist. The more probable steatitis can really cause long term waxing and waning in overweight animals.
Eric
Fna is always a good idea and
Fna is always a good idea and inflammatory cells with adipose is likely and maybe a chance at a zebra like liposarcoma. Its good to sample in a distributed fashion so you get a variety of cells for the cytologist. The more probable steatitis can really cause long term waxing and waning in overweight animals.
Eric
I had a Labrador retriever
I had a Labrador retriever recently that had mild iliac lymphadenopathy and abnormal fat in the caudal abdomen which on FNB revealed “Plasmacytoid lymphoma/plasma cell tumor with infiltration of iliac lymph nodes and abdominal fat”. That was a new one to me… Definitely would FNB if it’s not resolving or the patient’s clinical signs don’t resolve.
I had a Labrador retriever
I had a Labrador retriever recently that had mild iliac lymphadenopathy and abnormal fat in the caudal abdomen which on FNB revealed “Plasmacytoid lymphoma/plasma cell tumor with infiltration of iliac lymph nodes and abdominal fat”. That was a new one to me… Definitely would FNB if it’s not resolving or the patient’s clinical signs don’t resolve.