– 11 yo F/S Lab, asymptomatic, mild elevation liver enzymes (ALT 220>121, ALP 213>160).
– 1cm hyperechoic nodule in the liver near diaphragm: benign hyperplasia vs granuloma vs abscess vs neoplasia. Liver has normal size/echogenicity.
– hypoechoic rounded structure (9mm wide, 1.7cm long) in mid abdomen, in the region of the jejunal LN. Reactive LN vs mass vs it almost looks like a nodule in the pancreas on some views, but I was too caudal and central for the pancreas.
– 11 yo F/S Lab, asymptomatic, mild elevation liver enzymes (ALT 220>121, ALP 213>160).
– 1cm hyperechoic nodule in the liver near diaphragm: benign hyperplasia vs granuloma vs abscess vs neoplasia. Liver has normal size/echogenicity.
– hypoechoic rounded structure (9mm wide, 1.7cm long) in mid abdomen, in the region of the jejunal LN. Reactive LN vs mass vs it almost looks like a nodule in the pancreas on some views, but I was too caudal and central for the pancreas.
– Normal intestines, normal spleen/stomach (lots of gas)/kidneys/adrenals/bladder/pancreas.
What do you think of this hypoechoic structure? Can we have a reactive LN without any GI signs?
She had just finished a week of Clavamox for a UTI. Fecal negative a few months ago.
Thank you!
Julie
Comments
These are LNs and likely
These are LNs and likely reactive given the length to width ratio is normal but looks a little ill defined around the node which may just be your machine/presets or inflammation. I think worth a needle cyto and culture. You will see LNs like this a lot without clinical signs. I would fna the liver too and assess inflammatory cell type. May just be a reactive LN and reactive hepatopathy state that is subclinical which is very easy in a Lab they dont get clinical til their world is seriously rocked:)
Thank you so much for your
Thank you so much for your input!
And thank you for working on my echo on the Bulldog with the heart base mass yesterday. The owner elected euthanasia. Sweetest dog, of course…
Glad to be of help:) Yes sad
Glad to be of help:) Yes sad bulldog case