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Renal Mass

KoNoHana is a 11 year old lab/beagle cross. KoNoHana has had a history of hematuria without any clinic signs of LUTD.

My associate asked me to ultrasound KoNoHana.

I am posting 3 cines. I am doing this to remind everone that if you only ultrasound the bladder/trigone/Urethra/Prostate- you will get burned for not doing a complete ultrasound.

As you can tell there is pathology in multiple organs.

I hope I am not the only one that used to ultrasound only the bladder. Not anymore.

 

KoNoHana is a 11 year old lab/beagle cross. KoNoHana has had a history of hematuria without any clinic signs of LUTD.

My associate asked me to ultrasound KoNoHana.

I am posting 3 cines. I am doing this to remind everone that if you only ultrasound the bladder/trigone/Urethra/Prostate- you will get burned for not doing a complete ultrasound.

As you can tell there is pathology in multiple organs.

I hope I am not the only one that used to ultrasound only the bladder. Not anymore.

 

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8 responses to “Renal Mass”

  1. Multicentric Hemangiosarcoma

    Multicentric Hemangiosarcoma til proven otherwise and yes wise words randy.

    HSA in the kidney causing hematuria is not that rare of an occurence in predisposed breeds. I’ve seen the patients do well if just kidney with nephrectomy and chemo but not when in mutiple sites assuming this is HSA but it fits… round cell possible too but LSA and similar are not “bleeding diseases” whereas HSA is.

  2. Thanks EL.
    HSA was first to

    Thanks EL.

    HSA was first to pop into my head. Owners requested a referral to an oncologist. I guess we will wait and see where this goes. 

     

  3. This dog needs chemo now if

    This dog needs chemo now if the owners are going forward before he is full of blood and a chest and heart full of mets. I tracked an HSA case from a 2 cm nodule to multicentric masses including heart and hemothorax in 11 days.

  4. Thanks EL. I will make

    Thanks EL. I will make contact with them and forward this information

  5. Very interesting to read as I
    Very interesting to read as I am currently dealing with a case that has hemothorax and hemoabdomen but I fail to identify any masses… It is not even anemic! Since this must have been building up really slow for the past 2 months! Chest and abdomen are full of blood and I cannot detect a mass anywhere… Does not fit rodenticide , trauma nor coagulopathy… So… Is HSA still on the top of the list? Can the chest and abdomen be full of blood with a small mass that I may be missing? Very interesting to read. Dog is on Vit K supplement and antibiotics.

  6. HSA by that time frame

    HSA by that time frame usually shows a mass somewhere and they usually don’t live that long wihtout intervention…true hemoabdomen or serohemorragic? Coag panel ? BMBT? You can cytospin down the free fluid and make slides of th esediment.. I’ve seen systemic mast cell disease do this on rare occasion.

  7. We did all that, I saw the
    We did all that, I saw the slide myself and it was purely inflammatory cells and rbcs. No mast cells seen. We haven’t done BMBT. And I did advice a coag panel to my colleague but I’m not sure they did it in the end. It was very dark and thick blood… The one from thorax clotted on the tray, the one from abdomen did not clot on the syringe. I’m puzzled at this case…I feel I’m failing to find the issue. Thanks for answering and sorry for or rioting in the thread.

  8. These cases often require

    These cases often require alternative views… paralumbar, intercostal chest, transdiaphragmatic, deep pelvis… if you wanted to start a new thread with a couple of images and video we may be able to help more otherwise a telemed consult may be more in order??

    http://www.sonopath.com/spa

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