-3 year old DSH (NOT very cooperative so please excuse the non-standard view)
-large amount pleural effusion
-fluid analysis showed an exudate with large numbers of lymphocytes but no cholesterol/lipid component
-pathologists concerned about lymphoma
-no evidence of lymphoma/masses in abdomen (brief view) or cranial and caudal mediastinum
-I accidentally closed rather than suspended my study so I cannot get any measurements 🙁
-3 year old DSH (NOT very cooperative so please excuse the non-standard view)
-large amount pleural effusion
-fluid analysis showed an exudate with large numbers of lymphocytes but no cholesterol/lipid component
-pathologists concerned about lymphoma
-no evidence of lymphoma/masses in abdomen (brief view) or cranial and caudal mediastinum
-I accidentally closed rather than suspended my study so I cannot get any measurements 🙁
-Question: I see significant cardiac disease but don’t necessarily see evidence of cardiac lymphoma (I keep looking at the left ventricular free wall but I only see it in one clip; the others look like normal myocardium). Can you see an exudate with high numbers of lymphocytes just from CHF? Or do you see evidence of lymphoma here?
Thanks!
***The first clip appears very dark when uploaded. The original is also too dark but was much more readable than the transferred images are…still working out technical difficulties with a new machine.
Comments
If worried about lymphoma can
If worried about lymphoma can get your lab to do B and T cell markers on smears from the pleural effusion. Can also consider running a PARR on the smears but not sure if can be done as usually require biopsies samples.
Yes pretty dark images but
Yes pretty dark images but the LA looks big so cardiac compenent yes. Best thing to do here is tx cardiac and rescan in a couple of days and always cytospin the fluid to make a slide of the esediment immediately so th ecells are in better shape for interpretation. Turn the gain up about 8 points and rescan… the patient will be more coopoerative after the fluid has been drained and treated. & yes on PCR or PARR on the smears as Remo says. You can have both cardiac and lymphoma.