Sonopath Forum

Pancreatitis, pancreatic neoplaisa, or mesenteric root neoplasia

9 yr old MN Min Pin presented for routine annual exam.
Abdominal palpation and radiographs revealed an abdominal mass (clumping of the intestines).
When scanning the dog, I could not find a mass, per se. However, the right limb of the pancreas appears hypoechoic with some calcification, there is irregular, echogenic fat in the cranial right abdomen, cranioventral to the right kidney and caudal to the stomach.
After I was done scanning the dog, I was shown a radioglogy report suggesting that this dog has mesenteric root neoplasia.

9 yr old MN Min Pin presented for routine annual exam.
Abdominal palpation and radiographs revealed an abdominal mass (clumping of the intestines).
When scanning the dog, I could not find a mass, per se. However, the right limb of the pancreas appears hypoechoic with some calcification, there is irregular, echogenic fat in the cranial right abdomen, cranioventral to the right kidney and caudal to the stomach.
After I was done scanning the dog, I was shown a radioglogy report suggesting that this dog has mesenteric root neoplasia.
This dog is completely asymptomatic.
I was told the mass was in the mid to caudal abdomen, so I kept looking for a mass that did not exist.
Could the cranial right abdominal irregular fat and pancreas be emerging neoplasia? Could this be scarring from previous pancreaitis?

Comments

randyhermandvm

October 28, 2015 at 2:46 am -

Do you have the x-rays to

Do you have the x-rays to post?

Changes in this area would not be in the mid to caudal abdomen.

October 28, 2015 at 9:13 am -

Images are a bit dark but the

Images are a bit dark but the right panc base has a hypoechoic are in it. Nodular hyperplasia, panc necrosis, pancreatitis… try putting power doppler on these lesions to see what the blood flow looks like and fna it from the right side approach left side down. I dont see anything in the mesenteric root area on the stills… lots of fat and sometimes that can create a mass effect. There are lots of dogs running around with sequestered pancreatitis/necrosis that is walled off and contained and even more with nodular hyperplasia both which would fall into the “asymptomatic” category. Needle in the hypoechoic portion should clear it up or wait and recheck in a couple weeks if not clinical if growing then fna for sure.

FYI I really trust my radiologists on rads CT MR and of course US

http://sonopath.com/about/specialists/dr-nele-ondreka-dipecvdi

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Electrocute

October 28, 2015 at 1:14 pm -

Thanks, I will try to get the

Thanks, I will try to get the rads to post.