Skip to content
Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Why can’t I see the cardiac mass on left sided views?

Sonopath Forum

Why can’t I see the cardiac mass on left sided views?

  • 14 year old FS pitbull mix
  • Slow onset of ascites over the past month
  • Cytology done on abdominocentesis showed a modified transudate
  • Abdominal radiographs show hepatomegaly and decreased detail
  • Initial rule outs included carcinomatosis, abdominal mass, caudal vena cava thrombosis, right heart failure
  • Abdominal ultrasound showed a marked amount of anechoic free fluid, mildly clumping omentum and mesentery, splenomegaly, and hepatomegaly with dilated hepatic veins
    • 14 year old FS pitbull mix
    • Slow onset of ascites over the past month
    • Cytology done on abdominocentesis showed a modified transudate
    • Abdominal radiographs show hepatomegaly and decreased detail
    • Initial rule outs included carcinomatosis, abdominal mass, caudal vena cava thrombosis, right heart failure
    • Abdominal ultrasound showed a marked amount of anechoic free fluid, mildly clumping omentum and mesentery, splenomegaly, and hepatomegaly with dilated hepatic veins
    • Brief scan of the heart shows what appears to be a mass filling the RA and RV on right sided views. 
    • Left parasternal views did not show the mass.  I am also not seeing pericardial effusion. 
    • Also, when I first put the probe on the chest, I could see the mass but not the heart.
    • Why am I not seeing the mass on left sided views?  Can the mass be both inside and outside of the heart?

Comments

EL

This has th eechogenicity of

This has th eechogenicity of an aortic body tumor/chemodectoma and grows differently out the base of the heart and slowly as opposed to a typical right aurciular hemangiosarcoma and doesnt have pc effusion as readily as HSA. These guys can live for quite a long time with these an Pittys are well represented along with brachycephalic breeds.

EL

This has th eechogenicity of

This has th eechogenicity of an aortic body tumor/chemodectoma and grows differently out the base of the heart and slowly as opposed to a typical right aurciular hemangiosarcoma and doesnt have pc effusion as readily as HSA. These guys can live for quite a long time with these an Pittys are well represented along with brachycephalic breeds.

Electrocute

So on my right parasternal

So on my right parasternal transverse views, how do I know if the mass is truly in the RA and RV or if it is just indenting them? 

Electrocute

So on my right parasternal

So on my right parasternal transverse views, how do I know if the mass is truly in the RA and RV or if it is just indenting them? 

EL

Its deriving and avvolging

Its deriving and avvolging the aorta typical of chemodectoma as you can see in your still image. If it reaches the rest of th eheart its from expansion to or over the rest of the heart.

EL

Its deriving and avvolging

Its deriving and avvolging the aorta typical of chemodectoma as you can see in your still image. If it reaches the rest of th eheart its from expansion to or over the rest of the heart.

Electrocute

Going back to my original

Going back to my original question,I want to be able to say with confidence that the mass is inside the RV and RA as that is what I am seeing on my RP transverse views.  Can compression of the RA and RV give the same appearance?  It just bothered me that I could not confirm RA and RV involvement on my left sided cranial views. 

Electrocute

Going back to my original

Going back to my original question,I want to be able to say with confidence that the mass is inside the RV and RA as that is what I am seeing on my RP transverse views.  Can compression of the RA and RV give the same appearance?  It just bothered me that I could not confirm RA and RV involvement on my left sided cranial views.