-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.