10 yo F/S Beagle with mild elevation of liver enzymes, asymptomatic.
U/s done while she was under full anesthesia (after dental).
Liver: heterogeneous, multiple small hyperechoic nodules (3-5mm), benign hyperplasia vs granuloma vs neoplasia, 1 larger hyperechoic nodule with anechoic borders (1.5cm), benign vs target lesion.
10 yo F/S Beagle with mild elevation of liver enzymes, asymptomatic.
U/s done while she was under full anesthesia (after dental).
Liver: heterogeneous, multiple small hyperechoic nodules (3-5mm), benign hyperplasia vs granuloma vs neoplasia, 1 larger hyperechoic nodule with anechoic borders (1.5cm), benign vs target lesion.
1) Spleen: diffusely mottled and large (splenitis, hematopoeisis, MCT/lymphoma), 2 small hypoechoic nodules (5mm), benign vs neoplasia. I haven’t scanned a lot of pets under full anesthesia. I know sedation can cause splenic dilation, but does it change the appearance of the spleen?
2) Pancreas: thickened, several hypoechoic nodules, hyperplasia vs cysts vs neoplasia? Normal peripancreatic fat.
Normal LN, borderline big adrenals.
Owner declined FNA for now. Will recheck in a month.
Thank you for your input!
Julie
Comments
given he lack of wt loss the
given he lack of wt loss the spleen is likely hyperplasia as it looks passive but fna to be sure. The nodule next to the pancreas and presumed portal vein is a Ln likely hepatic Ln. Pancreas has minor remodeling likely history of pancreatitis but doesnt look active to me.
Thank you so much for your
Thank you so much for your input! I will recheck that hepatic LN, and Fna liver/spleen on recheck.
Julie
Update.
Spleen FNA: lymphoid
Update.
Spleen FNA: lymphoid hyperplasia, a few lymphocytes of intermediate size, can’t r/o emerging lymphoma.
Liver FNA: vacuolar hepatopathy.
Low dose dex test: + for Cushing’s dz
Hepatic LN: still cystic looking, 8mm.
Starting Trilostane. rDVm will Discuss monitoring spleen vs splenectomy.