Sonopath Forum

Severe thrombocytopenia, cranial abdominal effusion, and tachycardia…is there a cardiac mass?

9 year old mn Shepherd X with vomiting, weight loss, and lethargy
CBC shows severe thrombocytopenia (<20,000 platelets) and a mild anemia (HCT=37%)
Liver panel showed mildly elevated liver enzymes
Abdominal radiographs showed possible splenic mass
Abdominal ultrasound shows a double layered gall bladder, dilated hepatic veins, free fluid between the liver lobes, and splenomegaly (no mass)
Chest radiographs do not show a thoracic mass

9 year old mn Shepherd X with vomiting, weight loss, and lethargy
CBC shows severe thrombocytopenia (<20,000 platelets) and a mild anemia (HCT=37%)
Liver panel showed mildly elevated liver enzymes
Abdominal radiographs showed possible splenic mass
Abdominal ultrasound shows a double layered gall bladder, dilated hepatic veins, free fluid between the liver lobes, and splenomegaly (no mass)
Chest radiographs do not show a thoracic mass
A brief echo done after the abdominal scan shows tachycardia and decreased cardiac contractility.
Am I seeing pericardial effusion on the left cranial views? Is there a cardiac mass present?

Comments

October 24, 2013 at 2:54 pm -

melissa there is a trace
melissa there is a trace amount of effusion and poor contractility and an irregular rhythm. This would cause hv dilation in the liver. try this view of the right auricle from the normals dvd.

I would get an ecg to start , potentially treat, and recheck the scan in a few days with more views to see if the effusion is growing. But given the thrombocytopenia myocarditis is possible. How is the infectious status maybe a doxy clindamycin trial?