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What is this I’m looking at?

Sonopath Forum

Sonopath Forum

What is this I’m looking at?

This is my assistant’s dog that we were just imaging to try out a new machine and found this on the vental aspect of the Urinary bladder near the neck. It did not elongate with transducer manipulation and no vascularity seen. Clinically normal. Lymph node? 

14 yo Min-Pin SF

This is my assistant’s dog that we were just imaging to try out a new machine and found this on the vental aspect of the Urinary bladder near the neck. It did not elongate with transducer manipulation and no vascularity seen. Clinically normal. Lymph node? 

14 yo Min-Pin SF

 

 

 

Comments

DrMac
March 22, 2019 at 7:13 pm -

It looks like a lymph node. I

It looks like a lymph node. I dont see evidence of inflammation around it and the subjective width: length ratio looks within normal limits, yet its slightly hypoechoic and rounded. 

I dont see evidence of UB or proximal urethra issues so it may just be incidental. I would watch it with FNA if it persists or changes in size. 

Marty22
March 22, 2019 at 8:00 pm -

Is that a common area to find

Is that a common area to find a lymph node? I’ve never seen one there before. 

DrMac
March 22, 2019 at 8:33 pm -

Yes I agree its an abnormal

Yes I agree its an abnormal area for a lymph node. You would expect a lymph node to be dorsal to the UB, unless its a deep inguinal lymph node but it appears to be to close to the UB for that. So its odd…

As I look at it closer, I believe its associated with the UB wall actually. You can see the UB wall actually go around the lesion. It looks solid to me a cyst is possible. You can try to put Color Doppler on it to see if you can get any vascularity associated with it. 

I would recommend FNA of it now that I look closer at it. 

randyhermandvm
March 26, 2019 at 3:32 am -

I know this may sound

I know this may sound rediculus- but when I look at the cine it appears that the orientation of the bladder may be reversed from what we normally see. If that is the case could this be a abnormally large and compartmentalized persistant urachus? Just a thought.

 

Marty22
March 26, 2019 at 2:00 pm -

Here’s another view that

Here’s another view that should ease your mind 🙂

She’s coming back in in two days to hopefully get a fna.

DrMac
March 26, 2019 at 4:11 pm -

Cool keep us updated!

Cool keep us updated!

randyhermandvm
April 2, 2019 at 2:32 am -

Did she come back? What are

Did she come back? What are the results.

Marty22
April 2, 2019 at 8:49 am -

She did and I did aspirate

She did and I did aspirate the lesion but unfortunaley it was non-diagnostic despite feeling confident I was in the lesion. The dog is completely asymptomatic at this point so we’re going to follow it for a bit and decide whether to re-aspirate going forward. 

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