Skip to content

We value your privacy

We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.

Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Pancreatic nodule or lymph node

Sonopath Forum

Sonopath Forum

Pancreatic nodule or lymph node

12 yo F/S Italian Greyhound 17#

Asymptomatic severely elevated liver enzymes. Currently ALT 1786, was 171 last month. ALP was 461 last month. On Thyroxine.

1st u/s last month: large hyperechoic liver with multiple small hypoechoic nodules (3mm-1cm). FNA: vacuolar hepatopathy.

Gastritis.

Pancreas was thickened with a cavitated 1cm nodule or LN, dorsal to stomach. I can’t reach it.

Trt with metro/omeprazole/denamarin. O declined ursodiol.

Recheck U/s today: liver is the same, GB has organized sludge, maybe early mucocele, gastritis better, left adr 6.7mm.

Questions:

1) The pancreatic nodule or LN is the same. Is it in the pancreas? Benign hyperplasia? Mass? or cystic LN?

2) No way vacuolar hepatopathy alone could cause ALT 1800. What do you think? Hepatitis? Neoplasia?

Rec Ursodiol, metro/amoxi, denamarin. Referral for liver biopsy.

Thank you!

Julie

e

Comments

rlobetti
January 10, 2021 at 3:11 pm -

Agree that the elevated ALT

Agree that the elevated ALT activity is too high for reactive/vacuolar hepatopthy. With the appearance of the pancreas and liver would consider metastatic neoplasia. Liver biopsy and pancreatic biopsy as next step. 

sonopaws
January 10, 2021 at 3:36 pm -

Thank you Dr. Lobetti! And

Thank you Dr. Lobetti! And she is completely asymptomatic!

 

Julie

Subscribe

Leave a Reply