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Possible Mass in Major Vessel???

Sonopath Forum

Sonopath Forum

Possible Mass in Major Vessel???

Rex:

 10 yr. old Min Schnauzer; diabetic; prior Hx of pancreatitis and liver enz elevation… In today for ADR and vomiting. Liver enzymes still high…

Treating symptoms and doing better…but I’m wondering about a couple things….

1. GB enlarged w/…it this a mass/conglomeration of sludge or polyp???

Rex:

 10 yr. old Min Schnauzer; diabetic; prior Hx of pancreatitis and liver enz elevation… In today for ADR and vomiting. Liver enzymes still high…

Treating symptoms and doing better…but I’m wondering about a couple things….

1. GB enlarged w/…it this a mass/conglomeration of sludge or polyp???

2. The other loops show a hyperechoic mass like lesion that looks like it’s in the vena cava???? It’s near, but not associated with the Rt. Adrenal and kidney and I think this may be just a LN or possibly some liver???  I have shots where it looks like the VC goes around it rather than being intimate with it???

 

Curious to see what people think.

Sam

Comments

4ebersoles
March 30, 2019 at 5:39 pm -

Nice images!  I’m not a

Nice images!  I’m not a specialist…. but I’m guessing that could be a thrombus in the vena cava and an emerging mucocele ?

I’ll be interested in hearing what others say as well.  🙂

Karen

franklinanimalclinic
March 31, 2019 at 2:55 pm -

I wondered about an

I wondered about an incidental clot also…it sure looks like the ones that pop up in the aorta sometimes.

 

DrMac
March 31, 2019 at 4:37 pm -

Hey Sam, 
There is

Hey Sam, 

There is accumulated nonmineralized debris in the GB. I wouldnt call it a mucocele yet. Ursodiol may be considered and monitor. 

It looks like the abnormality may be within the CVC. Diabetics are prone to coagulopathies so, if the abnormality is not associated with the RAD, I would be concerneded about a thrombus is in the CVC lumen. In some of the images, it looks like it may be a reactive LN, if not associated with the RAD, possibly associated with the elevated liver enzymes. 

Mac

 

franklinanimalclinic
March 31, 2019 at 6:49 pm -

I don’t think it’s associated

I don’t think it’s associated w/ the RA, I have  a loop of a sweep from a normal RA to this abnormality and there’s no direct contact between the two structures…I thought I had uploaded that loop but obviously not.

 

Sam

DrMac
March 31, 2019 at 10:34 pm -

The abnormalities are in the

The abnormalities are in the same area of the CVC, portal vein, and RAD. If possible and not above, upload the image of the distinct RAD. If the clip is above with the RAD, let me know and I’ll look closer at it. Thx!

franklinanimalclinic
April 1, 2019 at 1:12 am -

I put up another post w/ the

I put up another post w/ the cine loop of the RA

EL
April 2, 2019 at 10:45 pm -

Looks like a LN and

Looks like a LN and associated with the esophagus which is right there and it superimposes the cvc. It looks curvilinear so its likely normal structure and LN is my best guess.

The GB is organized sludge thats adhered. Not to mucocele status… yet:)

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