Hello
I was hoping for some clarification on the pancreas image and spleen image that we are seeing. This is from a Sphinx MN 16 year old that has elevated BUN/creatinine, high spec lipase. Not eating and losing wt.
The kidneys were markdely hyperechoic relative to the spleen and liver. The pancreas appears to have undulating borders and anechoic foci within the parynchyma. The Lt limb appears to end in a nodule. The overall size is enlarged. I was wondering if the images and these findings are consistent with neoplasia or are more consistent with pancreatitis.
Hello
I was hoping for some clarification on the pancreas image and spleen image that we are seeing. This is from a Sphinx MN 16 year old that has elevated BUN/creatinine, high spec lipase. Not eating and losing wt.
The kidneys were markdely hyperechoic relative to the spleen and liver. The pancreas appears to have undulating borders and anechoic foci within the parynchyma. The Lt limb appears to end in a nodule. The overall size is enlarged. I was wondering if the images and these findings are consistent with neoplasia or are more consistent with pancreatitis.
The spleen also appeared to have a non-homogenous appearence and the capsule appeared undulating as well. No obvious LN enlargement was seen. Not sure if this is significant.
Are these findings consistent with neoplasia?
Thanks. Brent.
Comments
I dislike the spleen more
I dislike the spleen more than the pancreas. FNA on both is essential here. Any time the pancreas has issues the spleen gets bigger and reacts with scallopping contour but this spleen is also micronodular as well and cats dont do nodules in spleen and liver well like dogs do. Have to be an older cat to allow this which at 16 he is allowed and i would play the benign and lumped up card with the owner with a need to eliminate the potential for early neoplasia by means of needles.. 25g fna on both, 22 in pancreas if need be. I can make out the curvilinear (though roughened) pancreatioc capsule and duct but those parenchymal nodules need investigating.
My guess is pancreatatitis, or more likely history of it, … low grade chronic active with nodular hyperplasia and reactive spleen, splenitis, or early small cell lsa or mct.
As always great advice. Thank
As always great advice. Thank you!