– 5 year old male Bernese Mt Dog w history anorexia, weight loss and sore abdomen

– bloodwork neutrophilia otherwise unremarkable

– chest rads clear, abodominal rads show prostameagly with no evidence of sublumbar LN enlargement or lumbar vertebral lysis

– u/s confirmed enlarged prostate with mixed echotexture and two, irregular cavitory lesions; capsule relatively smooth

– medial iliac LN’s mildly enlarged but more reactive looking with a normal S/L ratio

– 5 year old male Bernese Mt Dog w history anorexia, weight loss and sore abdomen

– bloodwork neutrophilia otherwise unremarkable

– chest rads clear, abodominal rads show prostameagly with no evidence of sublumbar LN enlargement or lumbar vertebral lysis

– u/s confirmed enlarged prostate with mixed echotexture and two, irregular cavitory lesions; capsule relatively smooth

– medial iliac LN’s mildly enlarged but more reactive looking with a normal S/L ratio

– proximal urethral walls maybe mildly thickened but no distinct masses; mild left renal pyelecatasia

– right testicle showed mineral foci with distal shadowing in cranial pole  (incidental?)

I performed my first ADAIN in this case. Aspirated about 1ml of white, thick foul-smelling discharge from one of the cavitory lesions (could not access the other) then injected 50mg enrofloxacin. Then performed several FNA’s of the solid parenchyma. Culture and cytology pending. I beleive this looks more like BPH and prostatitis with abscess formation but being a Berner I am concerned about possible neoplasia. I do see some hyperechoic regions in the prostate parenchyma but nothing that looks like real mineral. Any thoughts? Hopefully cytology will be helpful. I recommended to neuter and rescan in 4-5 weeks.