-Geriatric female spayed yorkshire terrier.
-Presented for evaluation of pleural effusion.
-Right heart appears thickened, no tricuspid regurgitation seen. I don’t *think* there was pulmonic insufficiency but I had trouble getting the perfect images (she’s tiny!). Left side looks normal.
-Heterogeneous splenic nodule deforming the capsule seen
-Peritoneal effusion also present
-Geriatric female spayed yorkshire terrier.
-Presented for evaluation of pleural effusion.
-Right heart appears thickened, no tricuspid regurgitation seen. I don’t *think* there was pulmonic insufficiency but I had trouble getting the perfect images (she’s tiny!). Left side looks normal.
-Heterogeneous splenic nodule deforming the capsule seen
-Peritoneal effusion also present
-Question is about a structure seen near the right kidney. My first thought was a thrombus but I am having trouble getting good Doppler images on my loaner machine. One of the clips shows a very normal-appearing adrenal so I don’t think that’s it. Can you help me interpret these images?
Thanks!
Comments
That is thrombus and in that
That is thrombus and in that position is usually coming from one of the adrenals so interrogate both adrenals as well as the left adrenal from the right side using the cvc as a window (see attached image). Any adrenal irregularity is suspicious in these cases.
These casess form the search engine may help regarding the approach. CT would be ideal here as well
http://sonopath.com/members/case-studies/search?text=adrenal+mass&species=All
Great, thanks! Glad to know
Great, thanks! Glad to know I was on the right track. Next time I’ll work on getting a shot like the one you got above! 🙂